Bliss, Ethan

Bliss, Ethan is an individual health care provider with primary practice located at 340 Park Ave , Frederick MD 21701-4931. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Bliss, Ethan can be contacted via phone (301) 663-1683.

Contact Information

Primary practice address
340 Park Ave Frederick MD 21701-4931
Phone: (301) 663-1683
Fax: (301) 663-3792
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 04888 Maryland
Behavioral Health & Social Service Providers / Psychologist 103T00000X 20042437A Indiana
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 39001937A Indiana
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH 7447 Florida

Profile Details

NPI number 1851428460
LBN Legal business name Bliss, Ethan
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2007
Last updated Nov 22nd, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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