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B Grace Marie Bullock

Psychologist Family Psychologist Health Psychologist Group Psychotherapist and 4 more

559 Fulvue Dr
Eugene , Oregon 97405-2794

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About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Psychologist
  • Addiction Psychologist (Substance Use Disorder)
  • Adult Development & Aging Psychologist
  • Cognitive & Behavioral Psychologist
  • Exercise & Sports Psychologist
  • Family Psychologist
  • Health Psychologist
  • Group Psychotherapist

Languages spoken

  • English

Location

559 Fulvue Dr Eugene , Oregon 97405-2794

First Address

  • B Grace Marie Bullock
  • 559 Fulvue Drive
  • Eugene, OR
  • Zip : 97405-2794
  • Phone : (541) 852-2520

Second Address

  • B Grace Marie Bullock
  • 559 Fulvue Dr
  • Eugene, OR
  • Zip : 97405-2794
  • Phone : (541) 852-2520

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FAQs


Where did B Grace Marie Bullock attend graduate school?

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Where did B Grace Marie Bullock do her residency?

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Where did B Grace Marie Bullock do her fellowship?

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Is B Grace Marie Bullock board certified?

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What type of doctor is B Grace Marie Bullock

Psychologist

In what state does B Grace Marie Bullock practice in?

Oregon

Where is B Grace Marie Bullock ’s practice located?

559 Fulvue Dr , Eugene, Oregon, 97405-2794

What is B Grace Marie Bullock ’s gender?

Female

Is B Grace Marie Bullock a sole practitioner?

No

Is B Grace Marie Bullock accepting new patients?

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What languages does B Grace Marie Bullock speak?

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Does B Grace Marie Bullock accept insurance?

Yes, B Grace Marie Bullock accepts insurance

Does B Grace Marie Bullock offers telemedicine?

B Grace Marie Bullock has not indicated if she offers telemedicine

What is B Grace Marie Bullock ’s professional license number?

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What is B Grace Marie Bullock ’s NPI number?

1356590442

Does B Grace Marie Bullock have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 102L00000X Psychologist
Y 103T00000X Psychologist
N 103TA0400X Addiction Psychologist (Substance Use Disorder)
N 103TA0700X Adult Development & Aging Psychologist
N 103TB0200X Cognitive & Behavioral Psychologist
N 103TE1100X Exercise & Sports Psychologist
N 103TF0000X Family Psychologist
N 103TH0004X Health Psychologist
N 103TP2701X Group Psychotherapist

National Provider Identifier

NPI 1356590442
Provider Name B Grace Marie Bullock
First Address Eugene, OR 97405-2794
Second Address Eugene, OR 97405-2794
Gender F
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 12/09/2008
Last Update Date 25/10/2012

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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