Provider Demographics
NPI:1831403716
Name:PISCAR, VINCENT WILLIAM (LPC, MA, CAC-D)
Entity type:Individual
Prefix:MR
First Name:VINCENT
Middle Name:WILLIAM
Last Name:PISCAR
Suffix:
Gender:M
Credentials:LPC, MA, CAC-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 LIGONIER ST
Mailing Address - Street 2:
Mailing Address - City:LATROBE
Mailing Address - State:PA
Mailing Address - Zip Code:15650-1832
Mailing Address - Country:US
Mailing Address - Phone:724-537-0760
Mailing Address - Fax:724-537-0780
Practice Address - Street 1:1001 LIGONIER ST
Practice Address - Street 2:
Practice Address - City:LATROBE
Practice Address - State:PA
Practice Address - Zip Code:15650-1832
Practice Address - Country:US
Practice Address - Phone:724-537-0760
Practice Address - Fax:724-537-0780
Is Sole Proprietor?:No
Enumeration Date:2010-08-03
Last Update Date:2013-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005388101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional