Theodore L Baldick is a Group Psychotherapy Psychologist based in Memphis, TN and is specialized in Group Psychotherapy. Theodore L Baldick practices in Memphis, TN and has the professional credentials of PHD. The NPI Number for Theodore L Baldick is 1497755979 and holds a License No. 27365 (Tennessee).
The current practice location address for Theodore L Baldick is 3950 Central Ave, Memphis, TN and can be reached out via phone at 901-458-6291 and via fax at 901-323-4848.
Location: 3950 Central Ave, Memphis, TN, 38111-7602
Provider Profile Details
NPI Number
1497755979
Provider Name
Theodore L Baldick
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
3950 Central Ave, Memphis, TN, 38111-7602
Phone Number
901-458-6291
Fax Number
901-323-4848
Provider Enumeration Date
07/27/2005
Last Update Date
03/08/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0009713 | 01 | TN | TN BLUE SHIELD |
| 2033550 | 01 | TN | CIGNA |
Provider Business Practice Location Address Details
Address
3950 Central Ave
City
State
Zip
38111-7602
Phone Number
901-458-6291
Fax Number
901-323-4848
Provider Business Mailing Address Details
Address
3950 Central Ave
City
State
Zip
38111-7602
Phone Number
901-458-6291
Fax Number
901-323-4848
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
License No.
P0000000685 (Tennessee)
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
P0000000685 (Tennessee)
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., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
License No.
P0000000685 (Tennessee)
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.
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Group Psychotherapy
Taxonomy
License No.
27365 (Mississippi)
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/intrapersonal functioning of individual group members as well as collectively for the group. Emphasis is placed on the use of group dynamics to assist and treat individual group members. The specialty is applicable to all age groups, children, adolescents, adults and older adults, for a wide variety of conditions and concerns, and in numerous and diverse settings.
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