Individual
DR. KENNETH AXELRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
27472 SCHOENHERR RD STE 105, WARREN, MI 48088-6687
(586) 775-0357
(586) 775-0357
Mailing address
PO BOX 36271, GROSSE POINTE FARMS, MI 48236-0271
(586) 775-0357
(586) 775-0357
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
08/17/2007
Last updated
08/17/2007
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