Individual
RONALD M BACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
100 MARKET SQ, SUITE #6, NEWINGTON, CT 06111-2921
(860) 667-1153
(860) 436-4083
Mailing address
100 MARKET SQ, SUITE #6, NEWINGTON, CT 06111-2921
(860) 667-1153
(860) 436-4083
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
001361
CT
103TS0200X
School Psychologist
Primary
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
240001361CT07
ANTHEM
CT
01
—
334960
MHN
CT
01
—
7782664
AETNA
CT
01
—
BACKE-0010
COMPCARE
CT
Enumeration date
12/29/2006
Last updated
09/11/2025
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