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Contact Information

REBECCA E PISTORIUS, MD
1111 LINE AVE FL 3
SHREVEPORT, LA71101-3841
 Phone: 318-716-4610
 Fax: 318-716-4690
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for REBECCA E PISTORIUS · (Female)

NPI Number 1518353671
Status Active
Credentials MD
Entity Individual
Enumeration date 04/15/2015
Last updated 04/30/2026 - About a month ago
Sole proprietor 1 Yes
Identifiers
  • LA License # 322141
  • NJ License # 25IA12964900
  • VA License # 0101287189
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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