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Dr. Theodore L Baldick

Psychologist Clinical Psychologist Group Psychotherapist Addiction Psychologist (Substance Use Disorder)

3950 Central Ave
Memphis , Tennessee 38111-7602

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About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Psychologist
  • Addiction Psychologist (Substance Use Disorder)
  • Clinical Psychologist
  • Group Psychotherapist

Languages spoken

  • English

Location

3950 Central Ave Memphis , Tennessee 38111-7602

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


Where did Dr. Theodore L Baldick attend graduate school?

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Where did Dr. Theodore L Baldick do his residency?

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Where did Dr. Theodore L Baldick do his fellowship?

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Is Dr. Theodore L Baldick board certified?

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What type of doctor is Dr. Theodore L Baldick

Clinical Psychologist

In what state does Dr. Theodore L Baldick practice in?

Tennessee

Where is Dr. Theodore L Baldick ’s practice located?

3950 Central Ave , Memphis, Tennessee, 38111-7602

What is Dr. Theodore L Baldick ’s gender?

Male

Is Dr. Theodore L Baldick a sole practitioner?

No

Is Dr. Theodore L Baldick accepting new patients?

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What languages does Dr. Theodore L Baldick speak?

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Does Dr. Theodore L Baldick accept insurance?

Yes, Dr. Theodore L Baldick accepts insurance

Does Dr. Theodore L Baldick offers telemedicine?

Dr. Theodore L Baldick has not indicated if he offers telemedicine

What is Dr. Theodore L Baldick ’s professional license number?

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What is Dr. Theodore L Baldick ’s NPI number?

1497755979

Does Dr. Theodore L Baldick have any license restrictions?

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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)

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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