Provider Demographics
NPI:1881873131
Name:TOBIAS, LESTER LEE (PHD ABPP)
Entity type:Individual
Prefix:DR
First Name:LESTER
Middle Name:LEE
Last Name:TOBIAS
Suffix:
Gender:M
Credentials:PHD ABPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 LYMAN STREET
Mailing Address - Street 2:SUITE 212
Mailing Address - City:WESTBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01581-1474
Mailing Address - Country:US
Mailing Address - Phone:508-366-0440
Mailing Address - Fax:508-366-0893
Practice Address - Street 1:18 LYMAN STREET
Practice Address - Street 2:SUITE 212
Practice Address - City:WESTBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01581-1474
Practice Address - Country:US
Practice Address - Phone:508-366-0440
Practice Address - Fax:508-366-0893
Is Sole Proprietor?:No
Enumeration Date:2007-11-02
Last Update Date:2007-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1481103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAW01346OtherBLUE SHIELD