Individual
STEPHEN KENT BLISS
Active
Individual
STEPHEN KENT BLISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1335
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2081732
—
OH
05
—
89000996
—
KY
01
—
P00136138
RAILROAD MEDICARE
OH
Enumeration date
04/18/2006
Last updated
04/03/2015
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