Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kerri N. Boutelle, PHD

Individual provider Clinical Psychologist · NPI 1780620906

Kerri N. Boutelle, PHD is a Clinical Psychologist in LA Jolla, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

9500 Gilman Drive Mc 0985 University Of California San Diego
LA Jolla, CA 92093
Phone: (858) 534-8037
Fax: (858) 534-6727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY21823 (CA)
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X · Licence PSY21823 (CA)

Record details

NPI number1780620906
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedJune 22, 2006
Last updated in NPPESJuly 22, 2019

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