=====================================================
General NPI Number Information
=====================================================
NPI Number | 1376737023
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BLISS SPEECH AND HEARING SERVICES, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/05/2007
-----------------------------------------------------
Last Update Date | 05/26/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 12700 HILLCREST ROAD, SUITE 207
-----------------------------------------------------
City | DALLAS
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75230-2068
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 214-387-2824
-----------------------------------------------------
Fax | 214-387-9097
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 12700 HILLCREST ROAD, SUITE 207
-----------------------------------------------------
City | DALLAS
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75230-2068
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 214-387-2824
-----------------------------------------------------
Fax | 214-387-9097
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SPEECH/LANGUAGE PATHOLOGY
-----------------------------------------------------
Name | MRS. BRENDA WEINFELD BLISS
-----------------------------------------------------
Credential | CCC-SLP/A, CERT AVT
-----------------------------------------------------
Telephone | 214-387-2824
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 235Z00000X
-----------------------------------------------------
Taxonomy Name | Speech-Language Pathologist
-----------------------------------------------------
License Number | 15193
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------