Ronald M Backer, LPC is a
Psychologist - School based in Newington, Connecticut. Ronald M Backer is licensed to practice in Connecticut (license number ) and his current practice location is
100 Market Sq, Suite #6, Newington, Connecticut. He can be reached at his office (for appointments etc.) via phone at
(860) 667-1153.
NPI number for Ronald M Backer is 1912063330 and his current mailing address is 100 Market Sq, Suite #6, Newington, Connecticut. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1912063330.
Healthcare Provider's Profile
| Full Name | Ronald M Backer |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist - School |
|---|
| Location | 100 Market Sq, Newington, Connecticut |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1912063330
- Provider Enumeration Date: 12/29/2006
- Last Update Date: 07/26/2007
Medical Identifiers
Medical identifiers for Ronald M Backer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912063330 | NPI | - | NPPES |
| 240001361CT07 | Other | CT | ANTHEM |
| 334960 | Other | CT | MHN |
| BACKE-0010 | Other | CT | COMPCARE |
| 7782664 | Other | CT | AETNA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 001361 (Connecticut) | Primary |
| 103TS0200X | Psychologist - School | (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ronald M Backer is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ronald M Backer, LPC
100 Market Sq, Suite #6,
Newington, CT 06111-2921
Ph: (860) 667-1153 | Ronald M Backer, LPC
100 Market Sq, Suite #6,
Newington, CT 06111-2921
Ph: (860) 667-1153 |
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