MS. SALLY DEANE BLISS PH.D NPI 1205973633

NPI Information

  • NPI: 1205973633
  • Provider Name: MS. SALLY DEANE BLISS, PH.D
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • Address: 1740 NW MAPLE ST
    STE. 210
    ISSAQUAH, WA
    ZIP 98027
  • Phone: (425) 625-6874

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NPI Details

MS. Sally Deane Bliss, PH.D is a clinical psychologist in Issaquah, WA. The provider is 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. MS. Sally Deane Bliss, PH.D NPI is 1205973633. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1740 NW MAPLE ST
STE. 210
ISSAQUAH, WA
ZIP 98027-127
Phone: (425) 625-6874
Fax: (425) 427-2477

The enumeration date for this NPI number is 2/1/2007 and was last updated on 3/13/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103T00000XPsychologistPY 00002266WASHINGTONNo
2103TB0200XPsychologistCognitive & BehavioralPY 00002266WASHINGTONNo
3103TC1900XPsychologistCounselingPY 00002266WASHINGTONNo
4103TF0000XPsychologistFamilyPY 00002266WASHINGTONNo
5103TC0700XPsychologistClinicalPY 00002266WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1PY 00002266OTHERWASHINGTONPSYCHOLOGIST LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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