Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. AXEL BOUCHARD, PHD
ActiveDR. AXEL BOUCHARD, PHD is a Clinical Neuropsychologist healthcare provider located in FORT MYERS, Florida. NPI 1962889139 is currently active in the NPPES registry. Verify at CMS.
Clinical Neuropsychologist · FORT MYERS, FL
Registration Details
- NPI Number
- 1962889139
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 27, 2015 (11.328004601866 yrs)
- Last Updated
- Aug 20, 2019
- Licenses
-
PY10473 (FL)PY10473 (FL)
Practice Information
- Address
-
13099 S CLEVELAND AVE STE 300FORT MYERS, FL, 339073835Browse FL providers · Browse ZIP 33907
- Phone
- 2399361336
- Primary Specialty
-
Clinical Neuropsychologist
103G00000X
- Additional Specialty
- Clinical Neuropsychologist
Other Clinical Neuropsychologist Providers in FORT MYERS, FL
| Name | Credential | NPI |
|---|---|---|
| DR. MICHAEL P. SHAIN | PH.D. | 1902898471 |
| DR. MABEL LOPEZ | PH.D. | 1508971037 |
| DR. ANNE MARIE WELLS | PHD | 1740376227 |
| TANJA MANI | PHD | 1972756005 |
| DAVID E COX | PHD | 1053625939 |
| AMBERROSE A REALE | PSYD | 1518218866 |
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.