Axel, Avery

Axel, Avery is an sole proprietor health care provider with primary practice located at 525 S 4Th St Ste 471 , Philadelphia PA 19147-1582. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Axel, Avery can be contacted via phone (267) 861-3685.

Contact Information

Primary practice address
525 S 4Th St Ste 471 Philadelphia PA 19147-1582
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS018896 Pennsylvania

Profile Details

NPI number 1922534619
LBN Legal business name Axel, Avery
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 2nd, 2017
Last updated Dec 19th, 2023 - about last year

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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