Provider Demographics
NPI:1598997587
Name:LESTER, ROCHELLE MONICA (MA CCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:ROCHELLE
Middle Name:MONICA
Last Name:LESTER
Suffix:
Gender:F
Credentials:MA CCC/SLP
Other - Prefix:MISS
Other - First Name:ROCHELLE
Other - Middle Name:MONICA
Other - Last Name:MEREDITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA CCC/SLP
Mailing Address - Street 1:6308 N 21ST ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19138-3006
Mailing Address - Country:US
Mailing Address - Phone:215-548-8421
Mailing Address - Fax:
Practice Address - Street 1:6308 N 21ST ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19138-3006
Practice Address - Country:US
Practice Address - Phone:215-548-8421
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-10
Last Update Date:2009-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL002295L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist