Jack J. Lesyk, Ph.d., Inc.

NPI #1649263765 in Beachwood, Ohio

Provider Information

NPI Number: 1649263765
Entity Type: Organization
Organization Name: Jack J. Lesyk, Ph.d., Inc.
Primary Specialty: Psychologist - Clinical
Enumeration Date: Aug 24, 2005
Last Updated: Apr 29, 2008

Practice Location

Address: 21625 CHAGRIN BLVD
Address 2: SUITE 200
City: Beachwood
State: Ohio
ZIP Code: 44122-5363
Phone: (216) 575-6175

Authorized Official

Name: DR. JACK J. LESYK, PH.D.
Title: PRESIDENT
Phone: (216) 575-6175

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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