Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. EDWARD D SOREL, PHD
ActiveHealth Service Psychologist · ITHACA, NY
Registration Details
- NPI Number
- 1396777454
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 7, 2006 (19.789960896836 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
06772 (NY)06772 (NY)
Practice Information
- Address
-
110 N CAYGUA STREETITHACA, NY, 14850Browse NY providers · Browse ZIP 14850
- Phone
- 6072731038
- Fax
- 6072568363
- Primary Specialty
-
Health Service Psychologist
103TH0100X
- Additional Specialty
- Health Service Psychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.