Individual
DR. CHARLES R SOULE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
20 W 86TH ST, STE. 1A, NEW YORK, NY 10024-3604
(212) 560-2406
Mailing address
317 W 95TH ST, APT. 5E, NEW YORK, NY 10025-8600
(646) 271-9089
(212) 305-6614
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
012945
NY
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
012945
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012945
NYS LICENSED PSYCHOLOGIST
NY
Enumeration date
02/05/2007
Last updated
09/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us