Theodore L Baldick in Memphis - Group Psychotherapy
Theodore L Baldick - NPI 1497755979
Theodore L Baldick is a Group Psychotherapy in Memphis, Tennessee. Theodore L Baldick practices all healthcare services and medical treatments related to Group Psychotherapy. 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 | Group Psychotherapy |
|---|---|
| Taxonomy | 103Tp2701X |
| Licence No | P0000000685 |
|
Definition: A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intraperso |
|
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 Group Psychotherapy, and the taxonomy code that categorizes this field of expertise is 103Tp2701X.
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.
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