Dr Autumn Loreene Backhaus, PHD - Psychologist in San Diego, CA

Dr Autumn Loreene Backhaus, PHD is a Psychologist based in San Diego, California. Dr Autumn Loreene Backhaus is licensed to practice in California (license number PSY24346) and her current practice location is 3350 La Jolla Village Dr, Psychology Service, San Diego, California. She can be reached at her office (for appointments etc.) via phone at (858) 401-3827.

NPI number for Dr Autumn Loreene Backhaus is 1104100031 and her current mailing address is 3350 La Jolla Village Dr, Psychology Service, San Diego, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104100031.

Contact Information

Dr Autumn Loreene Backhaus, PHD
3350 La Jolla Village Dr, Psychology Service,
San Diego, CA 92161-0002
(858) 401-3827
Not Available



Healthcare Provider's Profile

Full NameDr Autumn Loreene Backhaus
GenderFemale
SpecialityPsychologist
Location3350 La Jolla Village Dr, San Diego, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1104100031
  • Provider Enumeration Date: 10/11/2011
  • Last Update Date: 10/11/2011

Medical Identifiers

Medical identifiers for Dr Autumn Loreene Backhaus such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104100031NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist PSY24346 (California)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. Dr Autumn Loreene Backhaus 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 AddressPractice Location Address
Dr Autumn Loreene Backhaus, PHD
3350 La Jolla Village Dr, Psychology Service,
San Diego, CA 92161-0002

Ph: () -
Dr Autumn Loreene Backhaus, PHD
3350 La Jolla Village Dr, Psychology Service,
San Diego, CA 92161-0002

Ph: (858) 401-3827

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Psychologist in San Diego, CA

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