Organization
ADVANCED THERAPY INTERVENTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY TEREO PH.D. (PRESIDENT)
(215) 922-3040
Entity
Organization
Contact information
Practice address
221 VINE ST, PHILADELPHIA, PA 19106-1215
(215) 922-3040
(215) 625-9632
Mailing address
221 VINE ST, PHILADELPHIA, PA 19106-1215
(215) 922-3040
(215) 625-9632
Taxonomy
Speciality
Code
Description
License number
State
103TP0814X
Psychoanalysis Psychologist
000394-1
NY
103TP0814X
Psychoanalysis Psychologist
098-0000066
VT
103TP0814X
Psychoanalysis Psychologist
Primary
PS4431-L
PA
Other
Enumeration date
03/21/2007
Last updated
08/22/2020
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