KERRI BOUTELLE, PHD

Psychologist - Clinical

Active Individual

NPI: 1780620906

Practice Address

9500 GILMAN DRIVE MC 0985
UNIVERSITY OF CALIFORNIA SAN DIEGO
La Jolla, CA 92093

Specialties

Specialty	Code	Primary	License
Psychologist - Clinical	103TC0700X	Yes	PSY21823 (CA)
Psychologist - Clinical Child & Adolescent	103TC2200X	No	PSY21823 (CA)

Frequently Asked Questions

NPI 1780620906 is the National Provider Identifier for KERRI BOUTELLE, PHD, a Psychologist - Clinical provider located in La Jolla, CA. This NPI was enumerated on June 22, 2006.

KERRI BOUTELLE, PHD practices at 9500 GILMAN DRIVE MC 0985, UNIVERSITY OF CALIFORNIA SAN DIEGO, La Jolla, CA 92093.

Quick Facts

NPI: 1780620906
Type: Individual
Enumerated: Jun 22, 2006
Last Updated: Jul 22, 2019

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