Individual
JO-ANNE BLISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
6830 SW 16TH ST, PLANTATION, FL 33317-5086
(954) 584-6155
(954) 316-7553
Mailing address
6830 SW 16TH ST, PLANTATION, FL 33317-5086
(954) 584-6155
(954) 316-7553
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY5318
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
766355200
—
FL
Enumeration date
07/20/2006
Last updated
08/22/2007
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