DR. Theodore L Baldick, PH.D.

NPI #1497755979 in Memphis, Tennessee

Provider Information

NPI Number: 1497755979
Entity Type: Individual
Name: DR. Theodore L Baldick, PH.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: PH.D.
Enumeration Date: Jul 27, 2005
Last Updated: Feb 4, 2008

Practice Location

Address: 3950 CENTRAL AVE
City: Memphis
State: Tennessee
ZIP Code: 38111-7602
Phone: (901) 458-6291

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X
Psychologist - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	103TA0400X
Psychologist - Clinical — Clinical	103TC0700X	Primary
Psychologist - Group Psychotherapy — Group Psychotherapy	103TP2701X

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