Provider Demographics
NPI:1538611017
Name:SUMMERFIELD, LESTER (PHD)
Entity type:Individual
Prefix:
First Name:LESTER
Middle Name:
Last Name:SUMMERFIELD
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:347 VENUS ST
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-2960
Mailing Address - Country:US
Mailing Address - Phone:805-496-6992
Mailing Address - Fax:
Practice Address - Street 1:4045 E THOUSAND OAKS BLVD STE 220
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91362-6977
Practice Address - Country:US
Practice Address - Phone:805-496-6992
Practice Address - Fax:805-496-4787
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-31
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACA PSY 6055103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical