| NPI | 1811207830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY N AXELROD Psychologist 734-913-0627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MI 6301007688) |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2010-10-08 |