Individual
DR. MICHAEL S. AXLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
14110 ROBERT PARIS CT, CHANTILLY, VA 20151-4205
(703) 378-7998
Mailing address
14110 ROBERT PARIS CT, CHANTILLY, VA 20151-4205
(703) 378-7998
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
0810004598
VA
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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