OrganizationActive
Advanced Therapy Intervention
NPI 1477679546 · Psychoanalysis Psychologist · Philadelphia, PA
Provider details
- NPI number
- 1477679546
- Entity type
- Organization
- Primary specialty
- Psychoanalysis PsychologistBehavioral Health & Social Service Providers
- Authorized official
- Anthony Tereo, President
- License
- 000394-1 (NY)
Practice location
221 Vine St
Philadelphia, PA 19106-1215
Phone: (215) 922-3040
Fax: (215) 625-9632
Mailing address
221 Vine St
Philadelphia, PA 19106-1215
Registry dates
- Enumerated
- 2007-03-21
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.