Individual
JEREMY AXELRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
194 MONTAGUE RD, LEVERETT, MA 01054-9727
(413) 225-1943
Mailing address
194 MONTAGUE RD, LEVERETT, MA 01054-9727
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
11568
MA
Other
Enumeration date
02/12/2022
Last updated
02/12/2022
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