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Individual

DR. ANTHONY ARTHUR DETORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
EDD

Contact information

Practice address
230 WEST PITTSBURGH STREET, GREENSBURG, PA 15601
(724) 834-8783
(724) 834-4439
Mailing address
230 WEST PITTSBURGH STREET, GREENSBURG, PA 15601
(724) 834-8783
(724) 834-4439

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS002552L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
202620
UPMC
PA
01
420230
HIGHMARK
PA
05
DE0420230
PA
Enumeration date
08/21/2006
Last updated
07/08/2007
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