TRESA ROEBUCK SPENCER, PHD, PLLC (NPI# 1265674824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265674824 |
| Entity Type | Organization |
| Organization Name | TRESA ROEBUCK SPENCER, PHD, PLLC |
| Practice Address |
1317 Bay Bridge Ct Edmond OK 73034-7076 |
| Practice Telephone | 4055135741 |
| Mailing Telephone | 4055135741 |
| Enumeration Date | 2009-03-28 |
| Last Update Date | 2009-03-28 |
| Authorized Official Name | TRESA MICHELLE ROEBUCK SPENCER (MANAGER) |
| Authorized Official Telephone | 7038631840 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 1078 | OK | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | TRESA ROEBUCK SPENCER, PHD, PLLC | 6610 Argonne Blvd, New Orleans, LA 70124 |
| Street Address |
1317 BAY BRIDGE CT |
| City | EDMOND |
| State | OK |
| Zip Code | 73034-7076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568538429 | Tresa Roebuck Spencer | Psychologist | 1317 Bay Bridge Ct, Edmond, OK 73034-7076 | 2006-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447172 | Saints Medical Group, LLC | Family Medicine | 2749 Progressive Dr, Suite B, Edmond, OK 73034 | 2020-11-06 |
| 1194339861 | Susan Haesook Kim | Pharmacist | 1400 2nd St, Edmod, Edmond, OK 73034 | 2020-09-01 |
| 1821616038 | Aaron Michael Gowens | Specialist/Technologist | 015 Wantland Hall 100 University Dr., Edmond, OK 73034 | 2020-07-14 |
| 1043834849 | Paddington Place Lcc | Intermediate Care Facility, Mental Illness | 3225 French Park Drive, Suite 6, Edmond, OK 73034 | 2020-06-08 |
| 1083254932 | Purpose Healthcare Inc | Psychologist | 301 South Blvd, Suite 117, Edmond, OK 73034 | 2020-01-08 |
| 1740773662 | Healthcare Express, LLP | Family Medicine | 2300 E 2nd St, Edmond, OK 73034 | 2018-06-14 |
| 1427555713 | Sara Nicole Smith | Specialist/Technologist | 100 N University Drive, Attn: Athletic Training Room, Edmond, OK 73034 | 2018-04-12 |
| 1619475084 | Carissa Leigh Brackelsberg | Chiropractor | 3709 E 2nd St, Edmond, OK 73034 | 2018-01-31 |
| 1760996177 | Laurel Michelle Glendening | Physical Therapist | 3531 River Wood Lane, Edmond, OK 73034 | 2017-11-21 |
| 1134643380 | Keith S Quinn | Dentist | 3008 Peaceful Ln, Edmond, OK 73034 | 2017-07-31 |
| Find all providers in zip 73034 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891218202 | Elite Therapy, LLC | Clinical Neuropsychologist | 1505 Renaissance Blvd, Edmond, OK 73013-3018 | 2017-07-18 |
| 1578500781 | Maria Francesca Rubino-watkins | Clinical Neuropsychologist | 1300 E. 9th Street, Ste 5, Edmond, OK 73034 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376140129 | Megan Marie Mcarthur | Clinical Neuropsychologist | 920 Stanton L Young Blvd # Wp3152, Oklahoma City, OK 73104-5036 | 2020-10-05 |
| 1154837185 | David E Hansen, Ph.d, PC | Clinical Neuropsychologist | 5512 S Lewis Ave Ste 8, Tulsa, OK 74105-7140 | 2017-12-28 |
| 1114438785 | Mind The Gap Neuropsychology Services Pllc | Clinical Neuropsychologist | 10621 Haskell Ln, Oklahoma City, OK 73162-8212 | 2017-10-23 |
| 1770009052 | Christopher Minh Nguyen | Clinical Neuropsychologist | 601 Robert S Kerr Ave Apt 108, Oklahoma City, OK 73102 | 2017-08-17 |
| 1295250207 | Lifechange Psychological Services, LLC | Clinical Neuropsychologist | 4117 Nw 122nd St Ste A1, Oklahoma City, OK 73120-8819 | 2017-08-10 |
| 1568990281 | Natalie Anne Emmert | Clinical Neuropsychologist | 920 Sl Young Blvd # Wp3440, Oklahoma City, OK 73104-5036 | 2017-05-25 |
| 1518210285 | Millennium Medical Services | Clinical Neuropsychologist | 520 W Rogers Blvd, Skiatook, OK 74070-1061 | 2012-10-18 |
| 1700177391 | Russell D Pella | Clinical Neuropsychologist | 5213 S Vandalia Ave, Apt. 4g, Tulsa, OK 74135-4038 | 2011-04-29 |
| 1861726663 | Mary Elizabeth Cardoni | Clinical Neuropsychologist | 5110 South Yale Avenue, Suite 103, Tulsa, OK 74135 | 2009-09-25 |
| 1386899342 | Gina D Bien | Clinical Neuropsychologist | 921 N.e. 13th St, Oklahoma City Va Medical Center, Oklahoma City, OK 73104 | 2008-11-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.