Individual provider · Type 1 NPI

Leland Reback, PSYD

Psychologist · Old Lyme, CT

NPI number 1053957258 Active

Practice location

55 Hatchetts Hill Rd
Old Lyme, CT 06371-1534

Call (800) 370-3651 Map

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X38326 (TX)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1053957258

Leland Reback, PSYD's National Provider Identifier is 1053957258, issued on Nov 22, 2019. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Old Lyme, CT. The record was last updated on Nov 22, 2019.