Organization
ANALYTIC ASSOCIATES, PLLC
Active
Other names
Stanley Zuckerman
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STANLEY A. ZUCKERMAN MSW (PSYCHOTHERAPIST)
(208) 385-9200
Entity
Organization
Contact information
Practice address
1408 W HAYS STREET, BOISE, ID 83702-5028
(208) 385-9200
(208) 336-7125
Mailing address
1408 W HAYS STREET, BOISE, ID 83702-5028
(208) 385-9200
(208) 336-7125
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
LCSW1219
ID
261QM0855X
Adolescent and Children Mental Health Clinic/Center
LCSW1219
ID
Other
Enumeration date
07/23/2006
Last updated
07/30/2020
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