Theodore L Baldick in Memphis - Psychologist
Theodore L Baldick - NPI 1497755979
Theodore L Baldick is a Psychologist in Memphis, Tennessee. Theodore L Baldick practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Theodore L Baldick is 1497755979. The last update date is 2008-02-04.
Theodore L Baldick's current location address is 3950 Central Ave, Memphis, Tennessee. You can contact this provider via phone number 9014586291 and fax number 9013234848. The mailing address for Theodore L Baldick is 3950 Central Ave, Memphis, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theodore L Baldick |
|---|---|
| Address | 3950 Central Ave, Memphis, Tennessee |
| Phone Number | 9014586291 |
| Fax Number | 9013234848 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1497755979 |
|---|---|
| Provider Enumeration Date | 2005-07-27 |
| Last Updated Date | 2008-02-04 |
Provider Mailing Address Detail
| Address | 3950 Central Ave |
|---|---|
| City | Memphis |
| State | Tennessee (TN) |
| Post Code | 381117602 |
| Phone Number | 9014586291 |
| Fax Number | 9013234848 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 27365 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9713 | TN | TN BLUE SHIELD | |
| 2033550 | TN | CIGNA |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Theodore L Baldick by the Centers for Medicare & Medicaid Services?
The Theodore L Baldick has been issued the NPI (National Provider Identifier) 1497755979 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Theodore L Baldick is physically located?
The Theodore L Baldick is situated at the following address: 3950 Central Ave, Memphis, TN 381117602.
What is Theodore L Baldick's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Theodore L Baldick is Psychologist, and the taxonomy code that categorizes this field of expertise is 103T00000X.
On what date did the Theodore L Baldick receive its 1497755979 assignment from the Centers for Medicare & Medicaid Services?
The Theodore L Baldick was assigned its 1497755979 by the Centers for Medicare & Medicaid Services on 2005-07-27.
When was the information related to Theodore L Baldick most recently updated or refreshed?
The details pertaining to the Theodore L Baldick, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-02-04.