Dr. Lisa J Backus, PSYD
Psychologist, Clinical in Tolland, Connecticut
1770827677- Practice location
- 129 Tolland Stage RD, Suite 1, Tolland, CT 06084-2342
- Phone
- 860-454-0611
- Fax
- 860-454-0919
- Last updated
- October 3, 2014
Lisa Jane Backus is a Psychologist, Clinical based in Tolland, CT. Lisa Jane Backus practices in Tolland, CT and has the professional credentials of PSYD. The NPI Number for Lisa Jane Backus is 1770827677 and holds a License No. 003187 (CT). The current practice location address for Lisa Jane Backus is 129 Tolland Stage RD, Suite 1, Tolland, CT 06084-2342 and can be reached out via phone at 860-454-0611 and via fax at 860-454-0919.
Provider Profile Details
- NPI Number
- 1770827677
- Provider Name
- Lisa Jane Backus
- Credential
- PSYD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 129 Tolland Stage RD, Suite 1, Tolland, CT 06084-2342
- Phone Number
- 860-454-0611
- Fax Number
- 860-454-0919
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 15, 2012
- Last Update Date
- October 3, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 129 Tolland Stage RD
Suite 1
Tolland, CT 06084-2342 - City
- Tolland
- State
- Connecticut
- Zip
- 06084-2342
- Phone Number
- 860-454-0611
- Fax Number
- 860-454-0919
Provider Business Mailing Address Details
- Address
- Po Box 537
Willington, CT 06279-0537 - City
- Willington
- State
- CT
- Zip
- 06279-0537
- Phone Number
- 860-837-4995
License Information
- License Number
- 003187
- License State
- CT
- Taxonomy
- Psychologist, Clinical · 103TC0700X · 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 Dr. Lisa J Backus, PSYD?
The NPI number of Dr. Lisa J Backus, PSYD is 1770827677. It was assigned on November 15, 2012 and is currently active in the NPPES registry.
What is the specialty of Dr. Lisa J Backus, PSYD?
Dr. Lisa J Backus, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in CT under license number 003187.
Where does Dr. Lisa J Backus, PSYD practice?
The practice location is 129 Tolland Stage RD, Suite 1, Tolland, CT 06084-2342. The office can be reached at 860-454-0611 (phone) or 860-454-0919 (fax).
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 1770827677 directly on the NPPES registry website.