LISA JANE BACKUS

TOLLAND, CT
NPI1770827677
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist Clinical
(Licence: CT  003187)
Enumeration Date2012-11-15
Last Update Date2014-10-03
Business Address
DR. LISA JANE BACKUS PSYD
129 TOLLAND STAGE RD SUITE 1
TOLLAND, CT 06084-2342
Phone number: 860-454-0611
Mailing Address
DR. LISA JANE BACKUS PSYD
PO BOX 537
WILLINGTON, CT 06279-0537
Phone number: 860-837-4995
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