IndividualActive
B Grace Bullock, PH.D.
NPI 1356590442 · Psychologist · Eugene, OR
Provider details
- NPI number
- 1356590442
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
- Adult Development & Aging Psychologist103TA0700X
Behavioral Health & Social Service Providers
- Cognitive & Behavioral Psychologist103TB0200X
Behavioral Health & Social Service Providers
- Exercise & Sports Psychologist103TE1100X
Behavioral Health & Social Service Providers
- Family Psychologist103TF0000X
Behavioral Health & Social Service Providers
Practice location
559 Fulvue Dr
Eugene, OR 97405-2794
Phone: (541) 852-2520
Approximate (ZIP-level) locationGet directions
Mailing address
559 Fulvue Drive
Eugene, OR 97405-2794
Registry dates
- Enumerated
- 2008-09-12
- Last updated
- 2012-10-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.