1376737023 NPI number — BLISS SPEECH AND HEARING SERVICES, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376737023 NPI number — BLISS SPEECH AND HEARING SERVICES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BLISS SPEECH AND HEARING SERVICES, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1376737023
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/26/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
12700 HILLCREST ROAD, SUITE 207
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DALLAS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75230-2068
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
214-387-2824
Provider Business Mailing Address Fax Number:
214-387-9097

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
12700 HILLCREST ROAD, SUITE 207
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75230-2068
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-387-2824
Provider Business Practice Location Address Fax Number:
214-387-9097
Provider Enumeration Date:
09/05/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
BLISS
Authorized Official First Name:
BRENDA
Authorized Official Middle Name:
WEINFELD
Authorized Official Title or Position:
SPEECH/LANGUAGE PATHOLOGY
Authorized Official Telephone Number:
214-387-2824

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X , with the licence number:  15193 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)