DR. LESTER R. WALL (NPI# 1780764589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780764589 |
| Entity Type | Individual |
| Full Name | DR. LESTER R. WALL |
| Credential | ED.D |
| Practice Address |
1919 14th St Suite 525 Boulder CO 80302-5310 |
| Practice Telephone | 3034433624 |
| Mailing Telephone | 3034433624 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 761 | CO | Behavioral Health & Social Service Providers |
| Street Address |
1919 14TH ST SUITE 525 |
| City | BOULDER |
| State | CO |
| Zip Code | 80302-5310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225091515 | Richard Glenn Ratliff | Psychologist | 1919 14th St, Suite 600, Boulder, CO 80302-5310 | 2006-04-09 |
| 1063658813 | Steven Wolhandler | Counselor | 1919 14th St, Boulder, CO 80302-5310 | 2008-12-29 |
| 1821295536 | Elyse Morgan | Psychologist | 1919 14th St, #505, Boulder, CO 80302-5310 | 2007-06-27 |
| 1366563389 | Gregg H Olsen | Psychiatry & Neurology | 1919 14th St, Suite 711, Boulder, CO 80302-5310 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323347 | Aviva Naomi Bannerman | Counselor | 2299pearlst., Boulder, CO 80302 | 2020-07-22 |
| 1205480845 | Mark L Sipowicz | Counselor | 100 Arapahoe Avenue, Boulder, CO 80302 | 2019-08-01 |
| 1366909806 | Brett Adamek | Counselor | 2027 Broadway, Suite E, Boulder, CO 80302 | 2019-02-20 |
| 1124592225 | Stepheny Antrobus | Counselor | 100 Arapahoe Lane, Suite 12, Boulder, CO 80302 | 2019-01-11 |
| 1942721337 | Sasha Marvel Hope | Nutritionist | 2260 Baseline Road #102, Boulder, CO 80302 | 2017-07-06 |
| 1073045365 | Mark Shusterman | Internal Medicine | 2133 5th Street, Boulder, CO 80302 | 2017-03-28 |
| 1316489396 | Agnieszka Spuzak | Nutritionist | 1267 Fourmile Canyon Dr, Boulder, CO 80302 | 2016-11-08 |
| 1265980031 | Tanya Robertson | Physical Therapy Assistant | 1633 Grove Street, Boulder, CO 80302 | 2016-09-21 |
| 1699142380 | Libbey Occupational Therapy Services LLC | Occupational Therapist | 100 West Arapahoe Ln, Suite 12, Boulder, CO 80302 | 2015-08-28 |
| 1831597244 | Annemarie Curran Prairie | Counselor | 2505 Walnut St., Ste 303, Boulder, CO 80302 | 2014-12-17 |
| Find all providers in zip 80302 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396353231 | Daniel Raedel | Psychologist | 2010 Willard Loop Dr, N352, Boulder, CO 80305-2448 | 2020-07-16 |
| 1447748330 | Cynthia Teener Johnson | Psychologist | 3405 Penrose Pl Ste 203, Boulder, CO 80301-1820 | 2018-04-25 |
| 1285142950 | Julia Beth Colwell | Psychologist | 1637 28th St, Boulder, CO 80301-1001 | 2018-01-16 |
| 1932618782 | Michele Adrienne Packard | Psychologist | 4410 Arapahoe Suite 140, Boulder, CO 80303 | 2017-09-25 |
| 1346775384 | Lauren Goldsmith Phd LLC | Psychologist | 1335 Norwood Ave, Boulder, CO 80304-1209 | 2017-04-27 |
| 1952840639 | Shana Parker | Psychologist | 936 Rain Lilly Ln, Boulder, CO 80304-0791 | 2017-02-15 |
| 1669856696 | Kathryn Blau | Psychologist | Wardenburg Health Services 119 Ucb, Boulder, CO 80309 | 2015-07-20 |
| 1467879908 | Vyga Kaufmann | Psychologist | 2355 Canyon Blvd, Suite 100, Boulder, CO 80302-5621 | 2014-03-22 |
| 1003241480 | Claudia Hartke | Psychologist | 3005 47th St Ste F4, Boulder, CO 80301-5550 | 2013-09-04 |
| 1730415910 | Douglas P Jowdy | Psychologist | 1035 Pearl Street, Boulder, CO 80302 | 2009-10-23 |
| Find all providers in BOULDER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.