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NPI Code Detail

MEDICARE: DR. TYLER ANDREW LESH PH.D.

MEDICARE: DR. TYLER ANDREW LESH PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical PsychologistPSY31349CA

General Provider Information

NPI Number : 1861655516
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TYLER ANDREW LESH PH.D.
Provider Business Mailing Address
First Line : 2230 STOCKTON BLVD
Second Line :
City : SACRAMENTO
State : CA
Zip : 95817-1353
Country : US
Telephone Number : 916-734-7174
Fax Number :
Provider Business Practice Location Address
First Line : 2230 STOCKTON BLVD
Second Line :
City : SACRAMENTO
State : CA
Zip : 95817-1353
Country : US
Telephone Number : 916-734-7174
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2008
Last Update Date : 01/28/2026

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