IndividualActive
Axel Bouchard, PHD
NPI 1962889139 · Clinical Neuropsychologist · Fort Myers, FL
Provider details
- NPI number
- 1962889139
- Entity type
- Individual
- Primary specialty
- Clinical NeuropsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- No
- License
- PY10473 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
13099 S Cleveland Ave Ste 300
Fort Myers, FL 33907-3835
Phone: (239) 936-1336
Approximate (ZIP-level) locationGet directions
Mailing address
13099 S Cleveland Ave Ste 300
Fort Myers, FL 33907-3835
Registry dates
- Enumerated
- 2015-04-27
- Last updated
- 2019-08-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.