JORDAN PAUL BACKSTROM

WALTHAM, MA
NPI1124552708
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: MA  10520)
Enumeration Date2017-04-20
Last Update Date2017-04-20
Business Address
Dr. JORDAN PAUL BACKSTROM Psy.D
85 1ST AVE
WALTHAM, MA 02451-1105
Phone number: 781-895-7963
Mailing Address
Dr. JORDAN PAUL BACKSTROM Psy.D
85 1ST AVE
WALTHAM, MA 02451-1105
Phone number: 781-895-7963