Bouchard, Axel

Bouchard, Axel is an individual health care provider with primary practice located at 13099 S Cleveland Ave Ste 300 , Fort Myers FL 33907-3835. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Bouchard, Axel can be contacted via phone (239) 936-1336.

Contact Information

Primary practice address
13099 S Cleveland Ave Ste 300 Fort Myers FL 33907-3835
Phone: (239) 936-1336
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY10473 Florida
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PY10473 Florida

Profile Details

NPI number 1962889139
LBN Legal business name Bouchard, Axel
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2015
Last updated Aug 20th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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