National Provider Identifier Database

THEODORE L BALDICK, PhD – NPI #1497755979
Clinical

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth — one that is broadly inclusive of severe psychopathology — and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.


Contact Information

THEODORE L BALDICK, PhD
3950 CENTRAL AVE
MEMPHIS, TN38111-7602
Phone: 901-458-6291
Fax: 901-323-4848
Website:
Specialty Taxonomy Code
* Clinical 103TC0700X
Addiction (Substance Use Disorder) 103TA0400X
Group Psychotherapy 103TP2701X
Psychologist 103T00000X

* Indicates primary specialty

NPI Profile & details for THEODORE L BALDICK

NPI Number 1497755979
Credentials PhD
Entity Individual
Enumeration date 07/27/2005
Last updated 02/04/2008 - About 18 years ago
Sole proprietor1 No
Identifiers
  • MS License #: 27365
  • TN License #: P0000000685
  • TN Other: 2033550 CIGNA
  • TN Other: 0009713 TN BLUE SHIELD
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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