Individual
JENNA LEIGH AXELROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
17315 STUDEBAKER RD STE 105, CERRITOS, CA 90703-2565
(562) 999-4707
(877) 741-9754
Mailing address
17315 STUDEBAKER RD STE 105, CERRITOS, CA 90703-2565
(562) 999-4707
(877) 741-9754
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
071010512
IL
Other
Enumeration date
04/22/2021
Last updated
04/12/2024
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