Provider Demographics
NPI:1083636914
Name:ANALYTIC ASSOCIATES, PLLC
Entity Type:Organization
Organization Name:ANALYTIC ASSOCIATES, PLLC
Other - Org Name:STANLEY ZUCKERMAN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:STANLEY
Authorized Official - Middle Name:A
Authorized Official - Last Name:ZUCKERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:208-385-9200
Mailing Address - Street 1:1408 W HAYS STREET
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83702-5028
Mailing Address - Country:US
Mailing Address - Phone:208-385-9200
Mailing Address - Fax:208-336-7125
Practice Address - Street 1:1408 W HAYS STREET
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83702-5028
Practice Address - Country:US
Practice Address - Phone:208-385-9200
Practice Address - Fax:208-336-7125
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-23
Last Update Date:2020-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLCSW1219261QM0850X, 261QM0855X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health