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Kerri N. Boutelle, PHD
Clinical Child & Adolescent Psychologist in La Jolla, California
NPI 1780620906

Kerri N. Boutelle is a Clinical Child & Adolescent Psychologist based in San Diego, CA and is specialized in Clinical Child & Adolescent. Kerri N. Boutelle practices in La Jolla, CA and has the professional credentials of PHD. The NPI Number for Kerri N. Boutelle is 1780620906 and holds a License No. PSY21823 (California).

The current practice location address for Kerri N. Boutelle is 9500 Gilman Drive Mc 0985, La Jolla, CA and can be reached out via phone at 858-534-8037 and via fax at 858-534-6727.

Location: 9500 Gilman Drive Mc 0985, La Jolla, CA, 92193-2410
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780620906
Provider Name
Kerri N. Boutelle
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
9500 Gilman Drive Mc 0985, La Jolla, CA, 92193-2410
Phone Number
858-534-8037
Fax Number
858-534-6727
Provider Enumeration Date
06/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
123420 01 MN UCARE
205A4BO 01 MN BCBS
923517500 05 MN
10387 01 ND ND MA
61-60634 01 MN MEDICA CHOICE & PRIMARY
839397 01 MN ARAZ
7777470 05 SD
0491997 05 MT
1019785 01 MN PREFERRED ONE
39136900 01 WI WI MA
HP34903 01 MN HEALTHPARTNERS
institution
Provider Business Practice Location Address Details
Address
9500 Gilman Drive Mc 0985
City
La Jolla
State
California
Zip
92093
Phone Number
858-534-8037
Fax Number
858-534-6727
person
Provider Business Mailing Address Details
Address
9500 Gilman Drive Mc 0985
City
La Jolla
State
California
Zip
92093
Phone Number
858-534-8037
Fax Number
858-534-6727
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
PSY21823 (California)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical Child & Adolescent
Taxonomy
103TC2200X
License No.
PSY21823 (California)
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
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