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DR. SALLY D. BLISS PH.D PLLC

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Company Details

Legal Name: DR. SALLY D. BLISS PH.D PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Voluntarily Dissolved
Formation/ Registration Date: December 15th 2016
Date of Dissolution: December 17th 2019
Expiration date: 31 Dec 2019
UBI Number: 604 071 002
ZIP code: 98027
City: Issaquah
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1740 NW MAPLE ST STE 210, ISSAQUAH, WA, 98027-8127, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 1740 NW MAPLE ST, STE. 210, ISSAQUAH, WA, 98027-8127, UNITED STATES

Contact Details

E-Mail: DRSALLYDBLISSPLLC@GMAIL.COM
Phone Number: +1 425-625-6874

Nature of Business

Professional, Scientific & Technical Services

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Registered Agent Information

Name Role Address
CARSON & NOEL PLLC Registered Agent 20 6TH AVE NE, ISSAQUAH, WA, 98027, UNITED STATES

Key Officers & Management

Name Role
SALLY BLISS Governing Person

National Provider Identifier

NPI Number:
1447783972

Authorized Person:

Name:
DR. SALLY DEANE BLISS
Role:
OWNER/CLINICAL PSYCHOLOGIST
Phone:

Taxonomy:

Selected Taxonomy:
103TA0400X - Addiction (Substance Use Disorder) Psychologist
Is Primary:
No
Selected Taxonomy:
103TB0200X - Cognitive & Behavioral Psychologist
Is Primary:
No
Selected Taxonomy:
103TC2200X - Clinical Child & Adolescent Psychologist
Is Primary:
No
Selected Taxonomy:
103TF0000X - Family Psychologist
Is Primary:
No
Selected Taxonomy:
103TP0814X - Psychoanalysis Psychologist
Is Primary:
No
Selected Taxonomy:
103TR0400X - Rehabilitation Psychologist
Is Primary:
No
Selected Taxonomy:
103TC0700X - Clinical Psychologist
Is Primary:
Yes

Contacts:

Fax:
4254272477
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