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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. GRADY K BACCUS, PH.D.

Active Sole Proprietor

DR. GRADY K BACCUS, PH.D. is a Clinical Psychologist healthcare provider located in COLUMBUS, Ohio. NPI 1811097561 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · COLUMBUS, OH

Registration Details

NPI Number
1811097561
Provider Type
Individual
Gender
Male
NPI Issued
Sep 23, 2006 (19.874479768598 yrs)
Last Updated
Jul 9, 2007
License
4269 (OH)
Sole Proprietor
Yes

Practice Information

Address
2021 E DUBLIN GRANVILLE RD
SUITE 169
COLUMBUS, OH, 432293568
Browse OH providers · Browse ZIP 43229
Phone
6148885133
Fax
6148888331
Primary Specialty
Clinical Psychologist
103TC0700X

Other Clinical Psychologist Providers in COLUMBUS, OH

Name Credential NPI
JOHN M SHOWALTER PHD 1720077027
HERBERT ALFRED HAUSMAN PHD 1659360741
JOHN S REECE PSY D 1972584928
DR. PATRICIA A SMITH PH.D. 1639144884
SUDHIR DUBEY PSYD 1609835768
DR. JAMES E. ALTHOF PH.D. 1588626808
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.