| Jack J. Lesyk, Ph.d., Inc. | |
|
21625 Chagrin Blvd Suite 200 Beachwood OH 44122-5363 | |
| (216) 575-6175 | |
| (216) 490-0155 |
| Full Name | Jack J. Lesyk, Ph.d., Inc. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 21625 Chagrin Blvd, Beachwood, Ohio |
| Authorized Official Name and Position | Jack J. Lesyk (PRESIDENT) |
| Authorized Official Contact | 2165756175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jack J. Lesyk, Ph.d., Inc. 21625 Chagrin Blvd Suite 200 Beachwood OH 44122-5363 Ph: (216) 575-6175 | Jack J. Lesyk, Ph.d., Inc. 21625 Chagrin Blvd Suite 200 Beachwood OH 44122-5363 Ph: (216) 575-6175 |
| NPI Number | 1649263765 |
|---|---|
| Provider Enumeration Date | 08/24/2005 |
| Last Update Date | 04/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649263765 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1050 (Ohio) | Primary |
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