Provider Demographics
NPI:1548677545
Name:LESTER, RUTHANN R (PSYD, PSYCHOLOGIST)
Entity type:Individual
Prefix:DR
First Name:RUTHANN
Middle Name:R
Last Name:LESTER
Suffix:
Gender:F
Credentials:PSYD, PSYCHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2010 W 120TH AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80234-2475
Mailing Address - Country:US
Mailing Address - Phone:303-351-1449
Mailing Address - Fax:
Practice Address - Street 1:2010 W 120TH AVE STE 101
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80234-2475
Practice Address - Country:US
Practice Address - Phone:303-351-1449
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-22
Last Update Date:2024-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPSY.0004371103TC0700X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO025212OtherKAISER COMMERCIAL NUMBER
CO42656559Medicaid
CO025212OtherKAISER COMMERCIAL NUMBER