MEDICARE: CHRISTOPHER JOHN BACKER LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	MT4995	FL

General Provider Information

NPI Number	:	1033576749
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER JOHN BACKER LMFT

Provider Business Mailing Address
First Line	:	300 CYPRESS CREEK CIR
Second Line	:
City	:	OLDSMAR
State	:	FL
Zip	:	34677-2007
Country	:	US
Telephone Number	:	175-072-7083
Fax Number	:

Provider Business Practice Location Address
First Line	:	8839 BRYAN DAIRY RD STE 310
Second Line	:
City	:	LARGO
State	:	FL
Zip	:	33777-1207
Country	:	US
Telephone Number	:	396-906-9062
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2016
Last Update Date	:	08/06/2024

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Directions to “ CHRISTOPHER JOHN BACKER LMFT” Practice Location

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