DR. GRADY K BACCUS PH.D. - NPI 1811097561 - Psychologist in Columbus, OH

Q: What is Grady Baccus's NPI number?

The NPI number for Grady Baccus is 1811097561. It was assigned to this individual provider in the NPPES registry on September 23, 2006.

Q: What is Grady Baccus's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Grady Baccus was last updated on July 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Grady K Baccus Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GRADY K BACCUS PH.D. (NPI 1811097561) is an individual clinical provider in Columbus, Ohio, licensed in Ohio (4269) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1811097561

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. GRADY K BACCUSCredential: PH.D.

Location Address2021 E DUBLIN GRANVILLE RD, SUITE 169Columbus, OH 43229-3568

Mailing Address2021 E Dublin Granville Rd, Suite 169Columbus, OH 43229-3568 · (614) 888-5133 · Fax (614) 888-8331

Phone(614) 888-5133

Fax(614) 888-8331

Sole ProprietorYes

Enumeration DateSeptember 23, 2006

Last NPPES UpdateJuly 9, 2007

✔ NPI 1811097561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in OH · 4269

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

2021 E DUBLIN GRANVILLE RD, Columbus, OH 43229

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