Roebuck Spencer, Tresa

Roebuck Spencer, Tresa is an individual health care provider with primary practice located at 1317 Bay Bridge Ct , Edmond OK 73034-7076. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Roebuck Spencer, Tresa can be contacted via phone (405) 325-7467.

Contact Information

Primary practice address
1317 Bay Bridge Ct Edmond OK 73034-7076
Fax: (405) 325-2523
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY9767 Florida

Profile Details

NPI number 1568538429
LBN Legal business name Roebuck Spencer, Tresa
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 24th, 2006
Last updated Mar 9th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568538429 NPPES
District of Columbia Other H360-0017 BCBS

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