National Provider Identifier Database

ETHAN BLISS, PHD – NPI #1851428460
Clinical

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth — one that is broadly inclusive of severe psychopathology — and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.


Contact Information

ETHAN BLISS, PHD
340 PARK AVE
FREDERICK, MD21701-4931
Phone: 301-663-1683
Fax: 301-663-3792
Website:
Specialty Taxonomy Code
* Clinical 103TC0700X
Mental Health 101YM0800X
Psychologist 103T00000X

* Indicates primary specialty

NPI Profile & details for ETHAN BLISS

NPI Number 1851428460
Credentials PHD
Entity Individual
Enumeration date 02/28/2007
Last updated 11/22/2010 - About 16 years ago
Sole proprietor1 No
Identifiers
  • FL License #: MH 7447
  • IN License #: 20042437A
  • IN License #: 39001937A
  • MD License #: 04888
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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