Lisa Jane Backus (NPI# 1770827677, PAC ID# 8729227988) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1770827677 |
| PAC ID by PECOS | 8729227988 |
| Professional Enrollment ID | I20130621000003 |
| Full Name | Lisa Jane Backus |
| Address |
129 Tolland Stage Rd Suite 1 Tolland CT 06084-2343 |
| Gender | F |
| Graduation Year | 2007 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 129 Tolland Stage Rd, Suite 1, Tolland, CT 06084-2343 |
| Street Address |
129 TOLLAND STAGE RD SUITE 1 |
| City | TOLLAND |
| State | CT |
| Zip | 06084-2343 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wendy S Garvin | Nurse Practitioner | Prospect Ct Medical Foundation, Inc. | 26 Shenipsh Lake Rd, Tolland, CT 06084-2332 |
| Audrey M Kemp | Nurse Practitioner | Prospect Ct Medical Foundation, Inc. | 26 Shenipsh Lake Rd, Tolland, CT 06084-2332 |
| Katlin Luu | Nurse Practitioner | Prospect Ct Medical Foundation, Inc. | 26 Shenipsh Lake Rd, Tolland, CT 06084-2332 |
| Marvelle L Lindo | Nurse Practitioner | Prospect Ct Medical Foundation, Inc. | 26 Shenipsh Lake Rd, Tolland, CT 06084-2332 |
| Victoria Guglielmone | Clinical Social Worker | Connected Counseling LLC | 14 Pinegrove Dr, Tolland, CT 06084-2603 |
| Guy W Gottier | Chiropractic | Westside Chiropractic of Tolland, LLC | 68 Hartford Tpke, Tolland, CT 06084-2866 |
| Christopher C Prewo | Chiropractic | Westside Chiropractic of Tolland, LLC | 68 Hartford Tpke, Tolland, CT 06084-2866 |
| Erin A Shepherd | Chiropractic | Westside Chiropractic of Tolland, LLC | 68 Hartford Tpke, Tolland, CT 06084-2866 |
| Marian L Vitali | Chiropractic | Westside Chiropractic of Tolland, LLC | 68 Hartford Tpke, Tolland, CT 06084-2866 |
| Edward S Sawicki | Internal Medicine | Med East Associates LLC | 200 Merrow Rd, Tolland, CT 06084-3416 |
| Find all physicians in zip 06084 | |||
| City | TOLLAND |
| Zip Code | 06084 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | TOLLAND + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Lisa Jane Backus.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.