Provider Demographics
NPI:1376737023
Name:BLISS SPEECH AND HEARING SERVICES, INC.
Entity Type:Organization
Organization Name:BLISS SPEECH AND HEARING SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH/LANGUAGE PATHOLOGY
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:WEINFELD
Authorized Official - Last Name:BLISS
Authorized Official - Suffix:
Authorized Official - Credentials:CCC-SLP/A, CERT AVT
Authorized Official - Phone:214-387-2824
Mailing Address - Street 1:12700 HILLCREST ROAD, SUITE 207
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-2068
Mailing Address - Country:US
Mailing Address - Phone:214-387-2824
Mailing Address - Fax:214-387-9097
Practice Address - Street 1:12700 HILLCREST ROAD, SUITE 207
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-2068
Practice Address - Country:US
Practice Address - Phone:214-387-2824
Practice Address - Fax:214-387-9097
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-05
Last Update Date:2007-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15193235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty