| Kerri N Boutelle, PHD | |
|
9500 Gilman Drive Mc 0985, University Of California San Diego, La Jolla, CA 92093 | |
| (858) 534-8037 | |
| (858) 534-6727 |
| Full Name | Kerri N Boutelle |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 9500 Gilman Drive Mc 0985, La Jolla, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780620906 | NPI | - | NPPES |
| 123420 | Other | MN | UCARE |
| 205A4BO | Other | MN | BCBS |
| 923517500 | Medicaid | MN | |
| 10387 | Other | ND | ND MA |
| 61-60634 | Other | MN | MEDICA CHOICE & PRIMARY |
| 839397 | Other | MN | ARAZ |
| 7777470 | Medicaid | SD | |
| 0491997 | Medicaid | MT | |
| 1019785 | Other | MN | PREFERRED ONE |
| 39136900 | Other | WI | WI MA |
| HP34903 | Other | MN | HEALTHPARTNERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY21823 (California) | Primary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | PSY21823 (California) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Kerri N Boutelle, PHD Po Box 232410, San Diego, CA 92193-2410 Ph: (858) 249-6748 | Kerri N Boutelle, PHD 9500 Gilman Drive Mc 0985, University Of California San Diego, La Jolla, CA 92093 Ph: (858) 534-8037 |
Dr. Rebecca Clement, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 7514 Girard Ave Ste 3, La Jolla, CA 92037 Phone: 858-213-1014 | |
Paul Santero, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3252 Holiday Ct Ste 205, La Jolla, CA 92037 Phone: 619-750-0970 | |
Ms. Zona C Lai, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2037 Torrey Pines Rd, La Jolla, CA 92037 Phone: 858-551-8360 Fax: 858-551-8360 | |
Timmie Pollock, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 8950 Villa La Jolla Dr, Suite B204, La Jolla, CA 92037 Phone: 858-452-5700 Fax: 858-452-2012 | |
Dr. Frank J Altobello, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4180 La Jolla Village Dr, Ste 250, La Jolla, CA 92037 Phone: 850-452-3588 Fax: 850-452-3589 | |
Cher S. Rafiee, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7660 Fay Avenue, Suite H #193, La Jolla, CA 92037 Phone: 619-813-2474 | |
Dr. Manuel David Tobias, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3252 Holiday Ct, Ste 227, La Jolla, CA 92037 Phone: 858-362-8779 Fax: 858-455-5556 |