Individual
DR. JEFFREY BALDRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
8140 WALNUT HILL LN STE 450, DALLAS, TX 75231-4328
(214) 265-1965
Mailing address
8140 WALNUT HILL LN STE 450, DALLAS, TX 75231-4328
(214) 265-1965
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
25162
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25162
TEXAS LICENSE
TX
Enumeration date
09/04/2020
Last updated
09/04/2020
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