Backstrom, Jordan Paul
Backstrom, Jordan Paul is an individual health care provider with primary practice located at 85 1St Ave , Waltham MA 02451-1105. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Backstrom, Jordan Paul can be contacted via phone (781) 895-7963.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 10520 | Massachusetts |
Profile Details
| NPI number | 1124552708 |
|---|---|
| LBN Legal business name | Backstrom, Jordan Paul |
| Credentials | PSY.D |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 20th, 2017 |
| Last updated | Apr 20th, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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