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:
Health care specialties
Specialty | Code | License # | 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 6 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1972572253 | NPPES |
California | Other | PSY17107 | LICENSE |
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