Individual provider · Type 1 NPI

Autumn Loreene Backhaus, PhD

Psychologist · San Diego, CA

NPI number 1104100031 Active

Practice location

3350 La Jolla Village Dr, Psychology Service
San Diego, CA 92161-0002

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XPSY24346 (CA)

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 1104100031

Autumn Loreene Backhaus, PhD's National Provider Identifier is 1104100031, issued on Oct 11, 2011. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in San Diego, CA. The record was last updated on Oct 11, 2011.