Provider Demographics
NPI:1508199662
Name:LESTER, REBECCA J (PHD, MSW, LCSW)
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:J
Last Name:LESTER
Suffix:
Gender:F
Credentials:PHD, MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4008 FLORA PL
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-3604
Mailing Address - Country:US
Mailing Address - Phone:314-413-3877
Mailing Address - Fax:314-558-2671
Practice Address - Street 1:1 BROOKINGS DR
Practice Address - Street 2:CAMPUS BOX 1114
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63130-4862
Practice Address - Country:US
Practice Address - Phone:314-413-3877
Practice Address - Fax:314-558-2671
Is Sole Proprietor?:No
Enumeration Date:2009-09-08
Last Update Date:2009-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20070316821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical