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NPI Code Detail

MEDICARE: DR. JANET RUTH LESTER PSY.D.

MEDICARE: DR. JANET RUTH LESTER PSY.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical PsychologistPSY20935CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
17708OTHERCAMEDI-CAL
27184OTHERCAMEDI-CAL
37368OTHERCAMEDI-CAL
47667OTHERCAMEDI-CAL

General Provider Information

NPI Number : 1316079080
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JANET RUTH LESTER PSY.D.
Provider Business Mailing Address
First Line : 205 PASADENA AVE
Second Line :
City : SOUTH PASADENA
State : CA
Zip : 91030-2919
Country : US
Telephone Number : 323-344-5536
Fax Number :
Provider Business Practice Location Address
First Line : 205 PASADENA AVE
Second Line :
City : SOUTH PASADENA
State : CA
Zip : 91030-2919
Country : US
Telephone Number : 323-344-5536
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2007
Last Update Date : 05/10/2018

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