Individual
DR. VINCENT LOUIS PASTORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
120 E INNES ST STE A5, SALISBURY, NC 28144-5008
(704) 677-2900
Mailing address
120 E INNES ST STE A5, SALISBURY, NC 28144-5008
(704) 677-2900
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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