Individual
DR. JEFFREY H. AXELBANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
727 RARITAN AVE, HIGHLAND PARK, NJ 08904-2952
(732) 572-8848
(732) 572-7002
Mailing address
727 RARITAN AVE, HIGHLAND PARK, NJ 08904-2952
(732) 572-8848
(732) 572-7002
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
SI003252
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6482902
—
NJ
Enumeration date
09/17/2006
Last updated
11/29/2011
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