Individual provider · Type 1 NPI
B Grace Marie Bullock, PhD
Psychologist · Eugene, OR
Practice location
559 Fulvue Dr
Eugene, OR 97405-2794
Mailing address
559 Fulvue Drive
Eugene, OR 97405-2794
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist Primary | 103T00000X | None listed |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | None listed |
| Adult Development & Aging Psychologist | 103TA0700X | None listed |
| Cognitive & Behavioral Psychologist | 103TB0200X | None listed |
| Exercise & Sports Psychologist | 103TE1100X | None listed |
| Family Psychologist | 103TF0000X | None listed |
| Health Psychologist | 103TH0004X | None listed |
| Group Psychotherapy Psychologist | 103TP2701X | None listed |
Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…
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About NPI 1356590442
B Grace Marie Bullock, PhD's National Provider Identifier is 1356590442, issued on Sep 12, 2008. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Eugene, OR. The record was last updated on Oct 25, 2012.