Soule, Charles R
Soule, Charles R is an sole proprietor health care provider with primary practice located at 20 W 86Th St Ste. 1A, New York NY 10024-3604. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Soule, Charles R can be contacted via phone (212) 560-2406.Contact Information
Primary practice address
20 W 86Th St Ste. 1A
New York NY 10024-3604
Phone: (212) 560-2406
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 012945 | New York |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 012945 | New York |
Profile Details
| NPI number | 1639218035 |
|---|---|
| LBN Legal business name | Soule, Charles R |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 5th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639218035 | NPPES |
| New York | Other | 012945 | NYS LICENSED PSYCHOLOGIST |
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