DR. Lisa Jane Backus, PSYD
NPI #1770827677 in Tolland, Connecticut
Provider Information
- NPI Number
- 1770827677
- Entity Type
- Individual
- Name
- DR. Lisa Jane Backus, PSYD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist - Clinical
- Credential
- PSYD
- Enumeration Date
- Nov 15, 2012
- Last Updated
- Oct 3, 2014
Practice Location
- Address
- 129 TOLLAND STAGE RD
- Address 2
- SUITE 1
- City
- Tolland
- State
- Connecticut
- ZIP Code
- 06084-2342
- Phone
- (860) 454-0611
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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