Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARVIN DARNELL GRADDY
Active Sole ProprietorMARVIN DARNELL GRADDY is a Addiction (Substance Use Disorder) Psychologist healthcare provider located in ANTIOCH, California. NPI 1144805011 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Psychologist · ANTIOCH, CA
Registration Details
- NPI Number
- 1144805011
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 12, 2021 (5.4065266206878 yrs)
- Last Updated
- Mar 12, 2021
- Licenses
-
101YA0400X (CA)101YA0400X (CA)101YA0400X (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1320 ROCKSPRING WAYANTIOCH, CA, 945318397Browse CA providers · Browse ZIP 94531
- Phone
- 9253349906
- Primary Specialty
-
Addiction (Substance Use Disorder) Psychologist
103TA0400X
- Additional Specialty
- Mental Health Counselor
- Additional Specialty
- Addiction (Substance Use Disorder) Psychologist
Other Addiction (Substance Use Disorder) Psychologist Providers in ANTIOCH, CA
| Name | Credential | NPI |
|---|---|---|
| MISS MARIE ELIZABETH GOESS-SAURAU | B.S. | 1598049363 |
| DR. GABRIELLE JONES | PH.D. | 1912319237 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.