Individual
DR. VINCENT LOUIS PASTORE
Active
Individual
DR. VINCENT LOUIS PASTORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2019
NC
103TC0700X
Clinical Psychologist
PSY11246
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04358
BLUE CROSS
—
01
—
5368504
AETNA
—
05
—
6000419
—
NC
Enumeration date
11/04/2005
Last updated
10/06/2021
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