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Dale E. Theobald, MD,PHD
Addiction Psychiatry Physician in Indianapolis, Indiana
NPI 1053383083

Dale E. Theobald is an Addiction Psychiatry Physician based in Indianapolis, IN and is specialized in Addiction Psychiatry. Dale E. Theobald practices in Indianapolis, IN and has the professional credentials of MD,PHD. The NPI Number for Dale E. Theobald is 1053383083 and holds a License No. 200110234A (Indiana).

The current practice location address for Dale E. Theobald is 7229 Clearvista Dr, Indianapolis, IN and can be reached out via phone at 317-621-4341 and via fax at 317-621-4366.

Location: 7229 Clearvista Dr, Indianapolis, IN, 46250-2805
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Provider Profile Details
NPI Number
1053383083
Provider Name
Dale E. Theobald
Credential
MD,PHD
Provider Entity Type
Individual
Gender
Male
Address
7229 Clearvista Dr, Indianapolis, IN, 46250-2805
Phone Number
317-621-4341
Fax Number
317-621-4366
Provider Enumeration Date
02/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000538641 01 IN ANTHEM
100134220 05 IN
institution
Provider Business Practice Location Address Details
Address
7229 Clearvista Dr
City
State
Zip
46256-1698
Phone Number
317-621-4341
Fax Number
317-621-4366
person
Provider Business Mailing Address Details
Address
7229 Clearvista Dr
City
State
Zip
46256-1698
Phone Number
317-621-4341
Fax Number
317-621-4366
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Addiction Psychiatry
Taxonomy
License No.
200110234A (Indiana)
Definition
Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.
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