Baldick, Theodore L

Baldick, Theodore L is an individual health care provider with primary practice located at 3950 Central Ave , Memphis TN 38111-7602. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Group Psychotherapy. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Baldick, Theodore L can be contacted via phone (901) 458-6291.

Contact Information

Primary practice address
3950 Central Ave Memphis TN 38111-7602
Phone: (901) 458-6291
Fax: (901) 323-4848
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 27365 Mississippi
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X P0000000685 Tennessee
Behavioral Health & Social Service Providers / Clinical 103TC0700X P0000000685 Tennessee
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X P0000000685 Tennessee

Profile Details

NPI number 1497755979
LBN Legal business name Baldick, Theodore L
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2005
Last updated Feb 4th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497755979 NPPES
Tennessee Other 0009713 TN BLUE SHIELD
Tennessee Other 2033550 TN BLUE SHIELD

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