Provider Demographics
NPI:1619029998
Name:LESTER, GEORGE W (PSYD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:W
Last Name:LESTER
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 COMPTON RD
Mailing Address - Street 2:UNIT 1
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-3826
Mailing Address - Country:US
Mailing Address - Phone:513-521-4405
Mailing Address - Fax:513-521-4406
Practice Address - Street 1:800 COMPTON RD
Practice Address - Street 2:UNIT 1
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-3826
Practice Address - Country:US
Practice Address - Phone:513-521-4405
Practice Address - Fax:513-521-4406
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2016-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY303103TC0700X
OH3485103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical