Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEREMY AXELRAD, PHD
Active Sole ProprietorJEREMY AXELRAD, PHD is a Clinical Psychologist healthcare provider located in LEVERETT, Massachusetts. NPI 1619622263 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · LEVERETT, MA
Registration Details
- NPI Number
- 1619622263
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 12, 2022 (4.4926477101575 yrs)
- Last Updated
- Feb 12, 2022
- License
-
11568 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
194 MONTAGUE RDLEVERETT, MA, 010549727Browse MA providers · Browse ZIP 01054
- Phone
- 4132251943
- Primary Specialty
-
Clinical Psychologist
103TC0700X
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.