National Provider Identifier
Antonette Backert
Antonette Backert is listed in the NPPES registry with a primary specialty of School Psychologist in Lake View, NY and a listed phone number of (716) 200-6828.
Profile Overview
- NPI
- 1962154161
- Provider Type
- Individual
- Primary Specialty
- School Psychologist
- Enumeration Date
- January 19, 2022
- Last Updated
- January 19, 2022
Practice Location
- 6491 Burke RD
- Lake View, NY 14085-9733
Phone: (716) 200-6828
Specialties
- School Psychologist (103TS0200X)
Full Record
- NPI
- 1962154161
- Entity Type
- Individual
- Last Name
- Backert
- First Name
- Antonette
- Mailing Street Address
- 6491 Burke RD
- Mailing City
- Lake View
- Mailing State
- NY
- Mailing ZIP Code
- 14085-9733
- Mailing Country
- US
- Practice Street Address
- 6491 Burke RD
- Practice City
- Lake View
- Practice State
- NY
- Practice ZIP Code
- 14085-9733
- Practice Country
- US
- Practice Phone
- (716) 200-6828
- Enumeration Date
- January 19, 2022
- Last Updated
- January 19, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- January 19, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- School Psychologist (103TS0200X)