National Provider Identifier Database

DALE E THEOBALD, M.D., PH.D. – NPI #1053383083
Addiction Psychiatry

Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.


Contact Information

DALE E THEOBALD, M.D., PH.D.
7229 CLEARVISTA DR
INDIANAPOLIS, IN46256-1698
Phone: 317-621-4341
Fax: 317-621-4366
Website:
Specialty Taxonomy Code
* Addiction Psychiatry 2084P0802X

* Indicates primary specialty

NPI Profile & details for DALE E THEOBALD

NPI Number 1053383083
Credentials M.D., PH.D.
Entity Individual
Enumeration date 02/03/2006
Last updated 11/27/2023 - About 3 years ago
Sole proprietor1 No
Identifiers
  • IN License #: 200110234A
  • IN Medicaid: 100134220
  • IN Other: 000000538641 ANTHEM
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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