Provider Demographics
NPI:1033945910
Name:SOREL, SUZANNE (LCAT)
Entity type:Individual
Prefix:
First Name:SUZANNE
Middle Name:
Last Name:SOREL
Suffix:
Gender:F
Credentials:LCAT
Other - Prefix:DR
Other - First Name:SUZANNE
Other - Middle Name:
Other - Last Name:SOREL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DA, LCAT, MT-BC
Mailing Address - Street 1:350 CABRINI BLVD APT 6G
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10040-3650
Mailing Address - Country:US
Mailing Address - Phone:917-509-6540
Mailing Address - Fax:
Practice Address - Street 1:350 CABRINI BLVD APT 6G
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10040-3650
Practice Address - Country:US
Practice Address - Phone:917-509-6540
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-09
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000299-01101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional