Provider Demographics
NPI:1114342110
Name:LESTER, SHAUN LESTER VIII (PHD)
Entity Type:Individual
Prefix:DR
First Name:SHAUN LESTER
Middle Name:
Last Name:LESTER
Suffix:VIII
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1095 EVERGREEN CIR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-3645
Mailing Address - Country:US
Mailing Address - Phone:936-900-5921
Mailing Address - Fax:
Practice Address - Street 1:1095 EVERGREEN CIR
Practice Address - Street 2:SUITE 200
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-3645
Practice Address - Country:US
Practice Address - Phone:936-900-5921
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-27
Last Update Date:2014-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61929101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional