Leland Reback, PSYD
Psychologist in Old Lyme, Connecticut
1053957258- Practice location
- 55 Hatchetts Hill RD, Old Lyme, CT 06371-1534
- Phone
- 800-370-3651
- Fax
- —
- Last updated
- November 22, 2019
Leland Reback is a Psychologist based in Old Lyme, CT. Leland Reback practices in Old Lyme, CT and has the professional credentials of PSYD. The NPI Number for Leland Reback is 1053957258 and holds a License No. 38326 (TX). The current practice location address for Leland Reback is 55 Hatchetts Hill RD, Old Lyme, CT 06371-1534 and can be reached out via phone at 800-370-3651.
Provider Profile Details
- NPI Number
- 1053957258
- Provider Name
- Leland Reback
- Credential
- PSYD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 55 Hatchetts Hill RD, Old Lyme, CT 06371-1534
- Phone Number
- 800-370-3651
- Primary Taxonomy
- Psychologist · 103T00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 22, 2019
- Last Update Date
- November 22, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 55 Hatchetts Hill RD
Old Lyme, CT 06371-1534 - City
- Old Lyme
- State
- Connecticut
- Zip
- 06371-1534
- Phone Number
- 800-370-3651
Provider Business Mailing Address Details
- Address
- 55 Hatchetts Hill RD
Old Lyme, CT 06371-1534 - City
- Old Lyme
- State
- CT
- Zip
- 06371-1534
- Phone Number
- 800-370-3651
License Information
- License Number
- 38326
- License State
- TX
- Taxonomy
- Psychologist · 103T00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Leland Reback, PSYD?
The NPI number of Leland Reback, PSYD is 1053957258. It was assigned on November 22, 2019 and is currently active in the NPPES registry.
What is the specialty of Leland Reback, PSYD?
Leland Reback, PSYD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in TX under license number 38326.
Where does Leland Reback, PSYD practice?
The practice location is 55 Hatchetts Hill RD, Old Lyme, CT 06371-1534. The office can be reached at 800-370-3651 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053957258 directly on the NPPES registry website.