Jacqueline Butler in La Mesa - Psychologist
Jacqueline Butler - NPI 1023120177
Jacqueline Butler is a Psychologist in La Mesa, California. Jacqueline Butler practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Jacqueline Butler is 1023120177. The last update date is 2007-07-08.
Jacqueline Butler's current location address is 4180 Marian St, La Mesa, California. You can contact this provider via phone number 6196445750 and fax number 6196445751. The mailing address for Jacqueline Butler is 4180 Marian St, La Mesa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacqueline Butler |
|---|---|
| Address | 4180 Marian St, La Mesa, California |
| Phone Number | 6196445750 |
| Fax Number | 6196445751 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1023120177 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4180 Marian St |
|---|---|
| City | La Mesa |
| State | California (CA) |
| Post Code | 919417426 |
| Phone Number | 6196445750 |
| Fax Number | 6196445751 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | P1690 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4385231 | CA | AETNA INSURANCE | |
| 8718236 | CA | -- | |
| 4106863 | TN | BLUE CROSS OF TN |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jacqueline Butler by the Centers for Medicare & Medicaid Services?
The Jacqueline Butler has been issued the NPI (National Provider Identifier) 1023120177 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Jacqueline Butler is located?
The Jacqueline Butler is situated at the following address: 4180 Marian St, La Mesa, CA, 919417426.
What is the Jacqueline Butler's specialty and taxonomy code?
The Jacqueline Butler's specialty is Psychologist, and the corresponding taxonomy code is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1023120177 to Jacqueline Butler?
The Centers for Medicare & Medicaid Services originally issued the 1023120177 to Jacqueline Butler on 2006-08-31.
When was the information related to Jacqueline Butler most recently updated or refreshed?
The details pertaining to the Jacqueline Butler, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.