Leso, John

Leso, John is an sole proprietor health care provider with primary practice located at 6723 Whittier Ave , Mc Lean VA 22101-4522. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Leso, John can be contacted via phone (703) 475-6478.

Contact Information

Primary practice address
6723 Whittier Ave Mc Lean VA 22101-4522
Phone: (703) 475-6478
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 013429-1 New York
Behavioral Health & Social Service Providers / Clinical 103TC0700X 08100055555 Virginia

Profile Details

NPI number 1053835785
LBN Legal business name Leso, John
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2017
Last updated Jun 6th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053835785 NPPES
Virginia Other 0810005555 CLINICAL PSYCHOLOGY LICENSE

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