Search › California › 103T00000X
Ronald Boutelle, PHD, PSYD
NPI 1316983562 · on the registry since 2006 · sole proprietor
Practice
- Address
- 12304 Santa Monica Blvd
Suite 106
Los Angeles, CA 90025 - Phone
- (310) 317-6784
- Fax
- (310) 317-6784
- Organisation at this address
- Upp For Health
Bsh Health Ca, P.C.
Integrative Lifecare
Emotional Fitness Inc
Venture Wellness CorpInferred from a shared address, not stated in the registry. - Clinicians at this address
- 98
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Also registered as
- 103TC0700X
103TP0814X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California