Individual
DAVID J BLISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
104 S FRONT AVE, PRESTONSBURG, KY 41653-1614
(606) 886-8572
(606) 886-4433
Mailing address
104 S FRONT AVE, PRESTONSBURG, KY 41653-1614
(606) 886-8572
(606) 886-4433
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1019
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000213213
ANTHEM BCBS
KY
Enumeration date
11/14/2006
Last updated
07/08/2007
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