Individual
DR. JOHN LESO
Active
Individual
DR. JOHN LESO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
013429-1
NY
103TC0700X
Clinical Psychologist
Primary
08100055555
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0810005555
CLINICAL PSYCHOLOGY LICENSE
VA
Enumeration date
08/03/2017
Last updated
06/06/2022
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