| Sandra W Lester Psyd Llc | |
|
602 W Midland Ave Suite 1 Woodland Park CO 80863-1086 | |
| (719) 322-6770 | |
| (719) 687-8881 |
| Full Name | Sandra W Lester Psyd Llc |
|---|---|
| Speciality | Psychologist |
| Location | 602 W Midland Ave, Woodland Park, Colorado |
| Authorized Official Name and Position | Sandra W Lester (MANAGING PARTNER) |
| Authorized Official Contact | 7193226770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra W Lester Psyd Llc Po Box 613 Woodland Park CO 80866-0613 Ph: (719) 322-6770 | Sandra W Lester Psyd Llc 602 W Midland Ave Suite 1 Woodland Park CO 80863-1086 Ph: (719) 322-6770 |
| NPI Number | 1063732741 |
|---|---|
| Provider Enumeration Date | 06/04/2010 |
| Last Update Date | 06/04/2010 |
| Medicare PECOS PAC ID | 5991835076 |
|---|---|
| Medicare Enrollment ID | O20100616000634 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063732741 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Sandra W Lester |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710125653 PECOS PAC ID: 7416087598 Enrollment ID: I20100616000663 |
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