Theodore L Baldick in Memphis - Addiction (substance Use Disorder)
Theodore L Baldick - NPI 1497755979
Theodore L Baldick is a Addiction (substance Use Disorder) in Memphis, Tennessee. Theodore L Baldick practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). 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 |
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Address | 3950 Central Ave, Memphis, Tennessee |
Phone Number | 9014586291 |
Fax Number | 9013234848 |
Sole Proprietor | N |
Credentials | PH.D. |
NPI Number Detail
NPI Number | 1497755979 |
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Provider Enumeration Date | 2005-07-27 |
Last Updated Date | 2008-02-04 |
Provider Mailing Address Detail
Address | 3950 Central Ave |
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City | Memphis |
State | Tennessee (TN) |
Post Code | 381117602 |
Phone Number | 9014586291 |
Fax Number | 9013234848 |
Provider's Primary Taxonomy Detail
Speciality | Addiction (substance Use Disorder) |
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Taxonomy | 103Ta0400X |
Licence No | P0000000685 |
Definition: A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., ga |
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 Addiction (substance Use Disorder), and the taxonomy code that categorizes this field of expertise is 103Ta0400X.
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.