Blaess, Daniel Robert

Blaess, Daniel Robert is an individual health care provider with primary practice located at 1350 Columbia St Unit 402 , San Diego CA 92101-3455. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Blaess, Daniel Robert can be contacted via phone (619) 804-1669.

Contact Information

Primary practice address
1350 Columbia St Unit 402 San Diego CA 92101-3455
Phone: (619) 804-1669
Fax: (619) 804-1669
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY17107 California

Profile Details

NPI number 1972572253
LBN Legal business name Blaess, Daniel Robert
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Nov 15th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1972572253 NPPES
California Other PSY17107 LICENSE

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