Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ETHAN BLISS, PHD
ActiveETHAN BLISS, PHD is a Clinical Psychologist healthcare provider located in FREDERICK, Maryland. NPI 1851428460 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · FREDERICK, MD
Registration Details
- NPI Number
- 1851428460
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 28, 2007 (19.495475381918 yrs)
- Last Updated
- Nov 22, 2010
- Licenses
-
04888 (MD)20042437A (IN)39001937A (IN)MH 7447 (FL)
Practice Information
- Address
-
340 PARK AVEFREDERICK, MD, 217014931Browse MD providers · Browse ZIP 21701
- Phone
- 3016631683
- Fax
- 3016633792
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Psychologist
- Additional Specialty
- Mental Health Counselor
- Additional Specialty
- Mental Health Counselor
Other Clinical Psychologist Providers in FREDERICK, MD
| Name | Credential | NPI |
|---|---|---|
| SHARON L. KUEBBING | PH.D. | 1215932694 |
| DR. JOEL N CALDWELL | CP | 1265434914 |
| ALLAN RICHARD CREAGER | PSYD. | 1518956325 |
| DR. LOU A LICHTI | PH.D. | 1215915376 |
| DR. JANE E SACHS | JD, PHD | 1023059698 |
| DR. DANIEL L. HAFFEY | PSY.D. | 1912940289 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.