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Individual
MORTON L AXELROD
Active
Individual
MORTON L AXELROD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PC001541
PA
101YP2500X
Professional Counselor
Primary
PC001541
PA
102L00000X
Psychoanalyst
—
PA
106H00000X
Marriage & Family Therapist
PC001541
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000374984
UNITED BEHAVIORAL HEALTH - UBH
PA
01
—
11654143
CAQH
PA
01
—
7196480
AETNA
PA
Enumeration date
09/12/2006
Last updated
05/24/2015
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