Individual
DR. ELIZABETH AXEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
567 JERICHO TPKE STE 203, SYOSSET, NY 11791-4505
(516) 418-2935
Mailing address
567 JERICHO TPKE STE 203, SYOSSET, NY 11791-4505
(516) 418-2935
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
019567
NY
103T00000X
Psychologist
019567
NY
Other
Enumeration date
12/11/2012
Last updated
01/14/2014
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