Doctor Name: | ANTHONY M PASTORE |
NPI Number: | 1437456332 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | PC005343 |
Business Practice Address: | 120 N Abington Rd Clarks Green, PA - 184112541 |
Business Phone Number: | 5705864343 |
Business Fax Number: | |
Mailing Address: | 120 N Abington Rd, CLARKS GREEN |
State: | PA |
Postal Code: | 184112541 |
Phone Number: | 5705864343 |
Fax Number: | |
NPI Enumeration Date: | 02/12/2011 |
NPI Last Update Date: | 02/12/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC005343 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |