Provider Demographics
NPI:1710462353
Name:LESTER, KATE ERIN (MS-CCCSLP)
Entity Type:Individual
Prefix:
First Name:KATE
Middle Name:ERIN
Last Name:LESTER
Suffix:
Gender:F
Credentials:MS-CCCSLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:246 N ROBINSON BLVD
Mailing Address - Street 2:
Mailing Address - City:NAMPA
Mailing Address - State:ID
Mailing Address - Zip Code:83687-8616
Mailing Address - Country:US
Mailing Address - Phone:208-249-4660
Mailing Address - Fax:
Practice Address - Street 1:246 N ROBINSON BLVD
Practice Address - Street 2:
Practice Address - City:NAMPA
Practice Address - State:ID
Practice Address - Zip Code:83687-8616
Practice Address - Country:US
Practice Address - Phone:208-249-4660
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-29
Last Update Date:2018-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist