Provider Demographics
NPI:1053465799
Name:LESTER SUMMERFIELD AND ASSOCIATES, A PSYCHOLOGICAL CORPORATION
Entity Type:Organization
Organization Name:LESTER SUMMERFIELD AND ASSOCIATES, A PSYCHOLOGICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LESTER
Authorized Official - Middle Name:
Authorized Official - Last Name:SUMMERFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:805-496-6992
Mailing Address - Street 1:4045 E THOUSAND OAKS BLVD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91362-3636
Mailing Address - Country:US
Mailing Address - Phone:805-496-6992
Mailing Address - Fax:805-496-4787
Practice Address - Street 1:4045 E THOUSAND OAKS BLVD
Practice Address - Street 2:SUITE 220
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91362-3636
Practice Address - Country:US
Practice Address - Phone:805-496-6992
Practice Address - Fax:805-496-4787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty