LISA N BACKUS
Psychologist


Address: 152 Whitman Ave, West Hartford, CT 06107-1755

LISA N BACKUS (Credential# 1402924) is licensed (Psychologist) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is APPROVED.

Business Overview

LISA N BACKUS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #8.003646. The credential type is psychologist. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 152 Whitman Ave, West Hartford, CT 06107-1755. The current status is approved.

Basic Information

Licensee Name LISA N BACKUS
Credential ID 1402924
Credential Number 8.003646
Credential Type Psychologist
Business Address 152 Whitman Ave
West Hartford
CT 06107-1755
Business Type INDIVIDUAL
Status APPROVED - CURRENT
Active 1
Issue Date 2017-04-18
Effective Date 2020-08-01
Expiration Date 2021-07-31
Refresh Date 2020-06-22

Office Location

Street Address 152 WHITMAN AVE
City WEST HARTFORD
State CT
Zip Code 06107-1755

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Nirali Khusal 142 Whitman Ave, West Hartford, CT 06107-1755 Pharmacy Intern 2020-06-10 ~ 2020-09-30
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Scott S Almeida 150 Whitman Ave, West Hartford, CT 06107-1755 Elevator Unlimited Journeyperson 2019-07-16 ~ 2020-08-31

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Rebecca L Stansfield 73 Tunxis Road, West Hartford, CT 06107 Registered Nurse 2020-09-01 ~ 2021-08-31
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Laurie C Caines Md 205 Stoner Drive, West Hartford, CT 06107 Physician/surgeon 2020-07-01 ~ 2021-06-30
Nicole K. Edlund 11 Greenacres Avenue, West Hartford, CT 06107 Master's Level Social Worker - Temporary Permit ~
Andrea M Yuliano 39 Mountain Terrace Road, West Hartford, CT 06107 Registered Nurse 2020-07-01 ~ 2021-06-30
Elizabeth M Ineson 4 Linwold Dr, West Htfd, CT 06107 Architect 2020-08-01 ~ 2021-07-31
Sarah G Potter 19 Westland Ave, West Hartford, CT 06107 Registered Nurse 2020-09-01 ~ 2021-08-31
Jessica C Abreu 14 Deepwood Lane, West Hartford, CT 06107 Real Estate Salesperson 2020-06-18 ~ 2021-05-31
William C Richter 67 Hillsboro Drive, West Hartford, CT 06107 Architect 2020-08-01 ~ 2021-07-31
Teresa M Stanton 25 Common Dr., West Hartford, CT 06107 Registered Nurse 2020-07-01 ~ 2021-06-30
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Competitor

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City WEST HARTFORD
Zip Code 06107
License Type Psychologist
License Type + County Psychologist + WEST HARTFORD

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Backus Health Center 80 Norwich New London Tpke, Uncasville, CT 06382-2527 Outpatient Clinic 2014-07-01 ~ 2018-06-30
Backus Health Center 12 Case St Ste 305, Norwich, CT 06360-2294 Outpatient Clinic 2013-02-04 ~ 2016-12-31
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William W. Backus Hospital · Lester A. Temkin 119 Sachem Street, Norwich, CT 06360 Controlled Substance Registration for Practitioner 2007-03-01 ~ 2008-02-29
William W Backus Hospital 326 Washington St, Norwich, CT 06360-2740 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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