Dr. Theodore L Baldick
Psychologist Clinical Psychologist Group Psychotherapist Addiction Psychologist (Substance Use Disorder)
3950 Central Ave
Memphis
, Tennessee 38111-7602
Dr. Theodore L Baldick
Psychologist Clinical Psychologist Group Psychotherapist Addiction Psychologist (Substance Use Disorder)
3950 Central Ave
Memphis
, Tennessee 38111-7602
(901) 323-4848
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About
Features
Specialties
- Psychologist
- Addiction Psychologist (Substance Use Disorder)
- Clinical Psychologist
- Group Psychotherapist
Languages spoken
- English
Location
First Address
- Dr. Theodore L Baldick
- 3950 Central Ave
- Memphis, TN
- Zip : 38111-7602
- Fax : (901) 323-4848
- Phone : (901) 458-6291
Second Address
- Dr. Theodore L Baldick
- 3950 Central Ave
- Memphis, TN
- Zip : 38111-7602
- Fax : (901) 323-4848
- Phone : (901) 458-6291
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 102L00000X | Psychologist | 27365 | MS |
| N | 103T00000X | Psychologist | 27365 | MS |
| N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | P0000000685 | TN |
| Y | 103G00000X | Clinical Psychologist | P0000000685 | TN |
| Y | 103TC0700X | Clinical Psychologist | P0000000685 | TN |
| N | 103TP2701X | Group Psychotherapist | P0000000685 | TN |
National Provider Identifier
| NPI | 1497755979 |
|---|---|
| Provider Name | Dr. Theodore L Baldick |
| First Address | Memphis, TN 38111-7602 |
| Second Address | Memphis, TN 38111-7602 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/07/2005 |
| Last Update Date | 04/02/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0009713 | TN BLUE SHIELD (01) | TN |
| 2033550 | CIGNA (01) | TN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
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?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.