Individual
SARAH BACKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
76 BEDFORD ST STE 12, LEXINGTON, MA 02420-4640
(781) 861-6655
Mailing address
76 BEDFORD ST STE 12, LEXINGTON, MA 02420-4640
(781) 861-6655
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
10457
MA
103T00000X
Psychologist
Primary
10457
MA
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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