Bradley Neal Axelrod in Detroit - Clinical Neuropsychologist
Bradley Neal Axelrod - NPI 1316950678
Bradley Neal Axelrod is a Clinical Neuropsychologist in Detroit, Michigan. Bradley Neal Axelrod practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Bradley Neal Axelrod is 1316950678. The last update date is 2015-01-27.
Bradley Neal Axelrod's current location address is 4646 John R St, Detroit, Michigan. You can contact this provider via phone number 3135761000. The mailing address for Bradley Neal Axelrod is 4646 John R St, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley Neal Axelrod |
|---|---|
| Address | 4646 John R St, Detroit, Michigan |
| Phone Number | 3135761000 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1316950678 |
|---|---|
| Provider Enumeration Date | 2006-08-15 |
| Last Updated Date | 2015-01-27 |
Provider Mailing Address Detail
| Address | 4646 John R St |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482011916 |
| Phone Number | 3135761000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | 6301007688 |
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Definition: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th |
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What is the unique 10-digit identifier code issued to Bradley Neal Axelrod by the Centers for Medicare & Medicaid Services?
The Bradley Neal Axelrod has been assigned the NPI (National Provider Identifier) 1316950678 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Bradley Neal Axelrod's facilities are situated?
The facilities of Bradley Neal Axelrod are physically located at the following address: 4646 John R St, Detroit, MI, 482011916.
What is Bradley Neal Axelrod's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Bradley Neal Axelrod is Clinical Neuropsychologist, and the corresponding taxonomy classification code for this specialized field is 103G00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1316950678 to Bradley Neal Axelrod?
The Bradley Neal Axelrod received its 1316950678 assignment from the Centers for Medicare & Medicaid Services on 2006-08-15.
When was the information regarding Bradley Neal Axelrod, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Bradley Neal Axelrod, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-01-27.
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