Organization
JACK J. LESYK, PH.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK J. LESYK PH.D. (PRESIDENT)
(216) 575-6175
Entity
Organization
Contact information
Practice address
21625 CHAGRIN BLVD, SUITE 200, BEACHWOOD, OH 44122-5363
(216) 575-6175
(216) 490-0155
Mailing address
21625 CHAGRIN BLVD, SUITE 200, BEACHWOOD, OH 44122-5363
(216) 575-6175
(216) 490-0155
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1050
OH
Other
Enumeration date
08/24/2005
Last updated
04/29/2008
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