Individual
DR. BROCK L PISTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, LP
Contact information
Practice address
5222 PIRRONE CT STE 101A, SALIDA, CA 95368-9072
(925) 282-1778
Mailing address
4120 DALE RD STE J-8251, MODESTO, CA 95356-9232
(209) 409-4078
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
33456
CA
103TC0700X
Clinical Psychologist
Primary
PSY33456
CA
Other
Enumeration date
09/22/2020
Last updated
04/23/2026
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