RONALD CHARLES BOUTELLE

LOS ANGELES, CA
NPI1316983562
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: CA  PSY10792)
Additional Taxonomies103TP0814X Psychologist, Psychoanalysis
(Licence: CA  PSY10792)
103T00000X Psychologist
(Licence: CA  PSY10792)
Enumeration Date2006-06-22
Last Update Date2007-07-08
Business Address
Dr. RONALD CHARLES BOUTELLE PhD, PsyD
12304 SANTA MONICA BLVD SUITE 106
LOS ANGELES, CA 90025-2551
Phone number: 310-317-6784
Mailing Address
Dr. RONALD CHARLES BOUTELLE PhD, PsyD
24677 SADDLE PEAK RD
MALIBU, CA 90265-3072
Phone number: 310-317-6784