Organization
DR SALLY D BLISS PHD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SALLY DEANE BLISS PHD, MA, BSN (OWNER/CLINICAL PSYCHOLOGIST)
(425) 625-6874
Entity
Organization
Contact information
Practice address
1740 NW MAPLE ST, STE. 210, ISSAQUAH, WA 98027-8127
(425) 625-6874
(425) 427-2477
Mailing address
1740 NW MAPLE ST, STE. 210, ISSAQUAH, WA 98027-8127
(425) 625-6874
(425) 427-2477
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PY 00002266
WA
103TB0200X
Cognitive & Behavioral Psychologist
PY 00002266
WA
103TC0700X
Clinical Psychologist
Primary
PY 00002266
WA
103TC2200X
Clinical Child & Adolescent Psychologist
PY 00002266
WA
103TF0000X
Family Psychologist
PY 00002266
WA
103TP0814X
Psychoanalysis Psychologist
PY 00002266
WA
103TR0400X
Rehabilitation Psychologist
PY 00002266
WA
Other
Enumeration date
04/11/2017
Last updated
04/11/2017
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