Individual
MR. EDWARD D SOREL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
110 N CAYGUA STREET, ITHACA, NY 14850
(607) 273-1038
(607) 256-8363
Mailing address
110 N CAYGUA STREET, ITHACA, NY 14850
(607) 273-1038
(607) 256-8363
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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