Ronald Charles Boutelle in Malibu - Psychologist
Ronald Charles Boutelle - NPI 1316983562
Ronald Charles Boutelle is a Psychologist in Malibu, California. Ronald Charles Boutelle practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Ronald Charles Boutelle is 1316983562. The last update date is 2007-07-08.
Ronald Charles Boutelle's current location address is 24677 Saddle Peak Rd, Malibu, California. You can contact this provider via phone number 3103176784 and fax number 3103176784. The mailing address for Ronald Charles Boutelle is 24677 Saddle Peak Rd, Malibu, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ronald Charles Boutelle |
|---|---|
| Address | 24677 Saddle Peak Rd, Malibu, California |
| Phone Number | 3103176784 |
| Fax Number | 3103176784 |
| Sole Proprietor | Y |
| Credentials | PHD, PSYD |
NPI Number Detail
| NPI Number | 1316983562 |
|---|---|
| Provider Enumeration Date | 2006-06-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 24677 Saddle Peak Rd |
|---|---|
| City | Malibu |
| State | California (CA) |
| Post Code | 902653072 |
| Phone Number | 3103176784 |
| Fax Number | 3103176784 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PSY10792 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Ronald Charles Boutelle by the Centers for Medicare & Medicaid Services (CMS)?
The Ronald Charles Boutelle has been assigned the NPI (National Provider Identifier) 1316983562. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Ronald Charles Boutelle is physically located?
The Ronald Charles Boutelle is physically situated at the following address: 24677 Saddle Peak Rd, Malibu, CA, 902653072.
What is Ronald Charles Boutelle's specialized field of practice, and what is the corresponding taxonomy classification code?
The Ronald Charles Boutelle's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.
When did the Ronald Charles Boutelle receive its 1316983562?
The Ronald Charles Boutelle was issued its 1316983562 on 2006-06-22, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Ronald Charles Boutelle, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Ronald Charles Boutelle, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.