Individual provider · Type 1 NPI

Lisa Jane Backus, PSYD

Clinical Psychologist · Tolland, CT

NPI number 1770827677 Active

Practice location

129 Tolland Stage Rd, Suite 1
Tolland, CT 06084-2342

Fax (860) 454-0919

Mailing address

PO Box 537
Willington, CT 06279-0537

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X003187 (CT)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1770827677

Lisa Jane Backus, PSYD's National Provider Identifier is 1770827677, issued on Nov 15, 2012. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Tolland, CT. The record was last updated on Oct 3, 2014.