DR. THEODORE L BALDICK PH.D. - NPI 1497755979

Q: What is Theodore Baldick's NPI number?

The NPI number for Theodore Baldick is 1497755979. It was assigned to this individual provider in the NPPES registry on July 27, 2005.

Q: What is Theodore Baldick's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Theodore Baldick was last updated on February 4, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Theodore L Baldick Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THEODORE L BALDICK PH.D. (NPI 1497755979) is an individual clinical provider in Memphis, Tennessee, licensed in Tennessee (P0000000685) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1497755979

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. THEODORE L BALDICKCredential: PH.D.

Location Address3950 CENTRAL AVEMemphis, TN 38111-7602

Mailing Address3950 Central AveMemphis, TN 38111-7602 · (901) 458-6291 · Fax (901) 323-4848

Phone(901) 458-6291

Fax(901) 323-4848

Sole ProprietorNo

Enumeration DateJuly 27, 2005

Last NPPES UpdateFebruary 4, 2008

✔ NPI 1497755979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in TN · P0000000685

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedPsychologistTaxonomy 103T00000X · License 27365 (MS)

Also ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X · License P0000000685 (TN)

Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X · License P0000000685 (TN)

3950 CENTRAL AVE, Memphis, TN 38111

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Other Identifiers 3

Other2033550TN · Cigna

Medicare PIN3685478TN

Other0009713TN · Tn Blue Shield

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ALLISON M GARROTT PH.D.

Psychologist (Clinical)