Individual
LESTER E BLUE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
222 W GREGORY BLVD, SUITE 100, KANSAS CITY, MO 64114-1140
(816) 361-0664
(816) 361-0677
Mailing address
222 W GREGORY BLVD, SUITE 100, KANSAS CITY, MO 64114-1140
(816) 361-0664
(816) 361-0677
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
05154
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18704026
BCBSKC INDIVIDUAL #
—
Enumeration date
02/16/2007
Last updated
09/24/2010
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