Provider Demographics
NPI:1740584085
Name:ADVANCED ANALYSTS, INC.
Entity Type:Organization
Organization Name:ADVANCED ANALYSTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:MAROTO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:610-742-4398
Mailing Address - Street 1:1015 DAVIDS DR
Mailing Address - Street 2:
Mailing Address - City:ASTON
Mailing Address - State:PA
Mailing Address - Zip Code:19014-1447
Mailing Address - Country:US
Mailing Address - Phone:610-742-4398
Mailing Address - Fax:610-624-4712
Practice Address - Street 1:517 S ORANGE ST
Practice Address - Street 2:
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-4038
Practice Address - Country:US
Practice Address - Phone:610-742-4398
Practice Address - Fax:610-624-4712
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-30
Last Update Date:2011-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0135571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty