Provider Demographics
NPI:1982737243
Name:LESTER, HOWARD M (EDD)
Entity Type:Individual
Prefix:
First Name:HOWARD
Middle Name:M
Last Name:LESTER
Suffix:
Gender:M
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BOX 148
Mailing Address - Street 2:351 PLEASANT ST.
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060
Mailing Address - Country:US
Mailing Address - Phone:413-531-2442
Mailing Address - Fax:413-280-1022
Practice Address - Street 1:BOX 148
Practice Address - Street 2:351 PLEASANT ST.
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060
Practice Address - Country:US
Practice Address - Phone:413-531-2442
Practice Address - Fax:413-280-1022
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4458103TF0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic