Grady K Baccus is a Clinical in Columbus, Ohio. Grady K Baccus practices all healthcare services and medical treatments related to Clinical. The NPI Number for Grady K Baccus is 1811097561. The last update date is 2007-07-09.
Grady K Baccus's current location address is 2021 E Dublin Granville Rd, Columbus, Ohio. You can contact this provider via phone number 6148885133 and fax number 6148888331. The mailing address for Grady K Baccus is 2021 E Dublin Granville Rd, Columbus, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Grady K Baccus |
|---|---|
| Address | 2021 E Dublin Granville Rd, Columbus, Ohio |
| Phone Number | 6148885133 |
| Fax Number | 6148888331 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1811097561 |
|---|---|
| Provider Enumeration Date | 2006-09-23 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 2021 E Dublin Granville Rd |
|---|---|
| City | Columbus |
| State | Ohio (OH) |
| Post Code | 432293568 |
| Phone Number | 6148885133 |
| Fax Number | 6148888331 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 4269 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 819547 | OH | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Grady K Baccus by the Centers for Medicare & Medicaid Services?
The Grady K Baccus has been issued the NPI (National Provider Identifier) 1811097561 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Grady K Baccus is located?
The Grady K Baccus is situated at the following address: 2021 E Dublin Granville Rd, Columbus, OH, 432293568.
What is Grady K Baccus's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Grady K Baccus is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1811097561 to Grady K Baccus?
The Centers for Medicare & Medicaid Services originally issued the 1811097561 to Grady K Baccus on 2006-09-23.
As of what date were the Grady K Baccus's details last updated?
The information pertaining to the Grady K Baccus, including its address, specialty, and other details, was most recently updated on 2007-07-09.
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