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RONALD BOUTELLE, PHD, PSYD

PHD, PSYD

Psychologist

NPI: 1316983562Individual

Specialties, Licenses & Credentials

Psychologist — Clinical

Code: 103TC0700X

PSY10792(CA)

Psychologist — Psychoanalysis

Code: 103TP0814X

PSY10792(CA)

Psychologist

Code: 103T00000X

PSY10792(CA)

Contact & Hours

Address
12304 SANTA MONICA BLVD, SUITE 106
LOS ANGELES, CA 90025

Quick Facts

NPI
1316983562
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
3
Locations
1

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