Connie Axelson, PH.D Valid NPI
Individual provider · Clinical Psychologist · Oceanside, NY
- NPI
- 1508179797
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Psychologist (Psychologist)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 103TC0700X
- License number
- 008864-1 (NY)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2010-07-16
- Last updated
- 2010-07-16
Practice location
15 Nantucket Ln
Oceanside, NY 11572-4435
(516) 766-2556