Axelson, Connie

Axelson, Connie is an sole proprietor health care provider with primary practice located at 15 Nantucket Ln , Oceanside NY 11572-4435. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Axelson, Connie can be contacted via phone (516) 766-2556.

Contact Information

Primary practice address
15 Nantucket Ln Oceanside NY 11572-4435
Phone: (516) 766-2556
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 008864-1 New York

Profile Details

NPI number 1508179797
LBN Legal business name Axelson, Connie
Credentials PH.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 16th, 2010
Last updated Jul 16th, 2010 - about 14 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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