Individual
MR. EDWARD D SOREL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
06772
NY
103TH0100X
Health Service Psychologist
Primary
06772
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1P323680
MAGELLAN
—
01
—
SO67728B
WORKMENS COMP
—
Enumeration date
07/07/2006
Last updated
09/11/2025
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