Individual
DR. GRADY DALE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EDD
Contact information
Practice address
4119 FALLS RD STE E, BALTIMORE, MD 21211-1642
(410) 963-0085
(410) 366-1668
Mailing address
4419 FALLS ROAD, FALLS LANE MEDICAL CENTER STE E, BALTIMORE, MD 21211-1226
(410) 578-0336
(410) 361-0651
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
01611
MD
Other
Enumeration date
03/06/2007
Last updated
07/25/2024
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