Organization
TRESA ROEBUCK SPENCER, PHD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRESA MICHELLE ROEBUCK SPENCER PH.D. (MANAGER)
(703) 863-1840
Entity
Organization
Contact information
Practice address
1317 BAY BRIDGE CT, EDMOND, OK 73034-7076
(405) 513-5741
Mailing address
1317 BAY BRIDGE CT, EDMOND, OK 73034-7076
(405) 513-5741
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1078
OK
Other
Enumeration date
03/28/2009
Last updated
03/28/2009
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