Dale E. Theobald, M.D., PH.D. Valid NPI

Individual provider · Addiction Psychiatry Physician · Indianapolis, IN

NPI

1053383083

Type

Individual (Type 1)

Primary specialty

Addiction Psychiatry Physician (Psychiatry & Neurology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

2084P0802X

License number

200110234A (IN)

Sex

Male

Sole proprietor

No

Enumerated

2006-02-03

Last updated

2023-11-27