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Contact Information

THEODORE L BALDICK, PhD
3950 CENTRAL AVE
MEMPHIS, TN38111-7602
 Phone: 901-458-6291
 Fax: 901-323-4848
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
 

Group Psychotherapy

103TP2701X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for THEODORE L BALDICK · (Male)

NPI Number 1497755979
Status Active
Credentials PhD
Entity Individual
Enumeration date 07/27/2005
Last updated 02/04/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 27365
  • TN License # P0000000685
  • TN Other 2033550 CIGNA
  • TN Other 0009713 TN BLUE SHIELD
Hospital affiliation(s) Not Available
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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