Provider Demographics
NPI:1225258510
Name:LESTER, CAROLE RUTH (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CAROLE
Middle Name:RUTH
Last Name:LESTER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:CAROLE
Other - Middle Name:
Other - Last Name:DENTINE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1011 MEWS DR
Mailing Address - Street 2:
Mailing Address - City:SELLERSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18960-2736
Mailing Address - Country:US
Mailing Address - Phone:609-240-6553
Mailing Address - Fax:
Practice Address - Street 1:1011 MEWS DR
Practice Address - Street 2:
Practice Address - City:SELLERSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18960-2736
Practice Address - Country:US
Practice Address - Phone:609-240-6553
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-27
Last Update Date:2015-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ355100408600103TC0700X
PAPS007611L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical