Individual
DR. MELANIE JOY BLISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
118 E. TRINITY PL, STE 100, DECATUR, GA 30030
(404) 387-0780
(678) 974-2254
Mailing address
118 E. TRINITY PL, STE 100, DECATUR, GA 30030
(404) 387-0780
(678) 974-2254
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY002900
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
888934094A
—
GA
Enumeration date
05/15/2006
Last updated
02/09/2011
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