DR. Jordan Paul Backstrom, PSY.D
NPI #1124552708 in Waltham, Massachusetts
Provider Information
- NPI Number
- 1124552708
- Entity Type
- Individual
- Name
- DR. Jordan Paul Backstrom, PSY.D
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist - Clinical
- Credential
- PSY.D
- Enumeration Date
- Apr 20, 2017
- Last Updated
- Apr 20, 2017
Practice Location
- Address
- 85 1ST AVE
- City
- Waltham
- State
- Massachusetts
- ZIP Code
- 02451-1105
- Phone
- (781) 895-7963
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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