Individual
DR. MARK D. LESSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
EBH02, 4TH ARMORED DRIVE, FORT DRUM, NY 13602
(315) 772-6703
Mailing address
EBH02, 4TH ARMORED DRIVE, FORT DRUM, NY 13602
(315) 772-6703
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2104-057
WI
103TC0700X
Clinical Psychologist
3-1940
TX
103TC0700X
Clinical Psychologist
725
VT
Other
Enumeration date
03/24/2006
Last updated
10/20/2025
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