DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. BRADLEY NEAL AXELROD, PH.D.

Active Sole Proprietor

Clinical Neuropsychologist · DETROIT, MI

Registration Details

NPI Number
1316950678
Provider Type
Individual
Gender
Male
NPI Issued
Aug 15, 2006 (19.683437545179 yrs)
Last Updated
Jan 27, 2015
Licenses
6301007688 (MI)
6301007688 (MI)
Sole Proprietor
Yes

Practice Information

Address
4646 JOHN R ST
PSYCHOLOGY SECTION (11MH-PS)
DETROIT, MI, 482011916
Browse MI providers · Browse ZIP 48201
Phone
3135761000
Primary Specialty
Clinical Neuropsychologist
103G00000X
Additional Specialty
Clinical Neuropsychologist

Other Clinical Neuropsychologist Providers in DETROIT, MI

Name Credential NPI
JENNIFER A PENDER PHD 1356388912
ROBIN A HANKS PHD 1518904218
DR. REBECCA ANNE BAIRD PH.D. 1144344128
DR. BRAD M MERKER PH. D. 1780801514
KATHRYN WILSON P.D. 1235423104
KATHLEEN MARGARET HAGELTHORN PH.D. 1215295191
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.