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Individual

DR. JOSEPH VACCARO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
1503 S COAST DR, COSTA MESA, CA 92626-1534
(949) 515-5440
Mailing address
111W BASTANCHURY RD 1A, FULLERTON, CA 92835-2527
(714) 773-4111
(714) 773-4222

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY27192
CA

Other

Enumeration date
11/07/2006
Last updated
07/14/2015
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