Antonette Backert

NPI #1962154161 in Lake View, New York

Provider Information

NPI Number: 1962154161
Entity Type: Individual
Name: Antonette Backert
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - School
Enumeration Date: Jan 19, 2022
Last Updated: Jan 19, 2022

Practice Location

Address: 6491 BURKE RD
City: Lake View
State: New York
ZIP Code: 14085-9733
Phone: (716) 200-6828

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - School — School	103TS0200X	Primary

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