Tresa Roebuck Spencer in Jacksonville - Clinical
Tresa Roebuck Spencer - NPI 1568538429
Tresa Roebuck Spencer is a Clinical in Jacksonville, Florida. Tresa Roebuck Spencer practices all healthcare services and medical treatments related to Clinical. The NPI Number for Tresa Roebuck Spencer is 1568538429. The last update date is 2017-03-09.
Tresa Roebuck Spencer's current location address is 3901 University Blvd S, Jacksonville, Florida. You can contact this provider via phone number 9043457640. The mailing address for Tresa Roebuck Spencer is 3901 University Blvd S, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tresa Roebuck Spencer |
|---|---|
| Address | 3901 University Blvd S, Jacksonville, Florida |
| Phone Number | 9043457640 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1568538429 |
|---|---|
| Provider Enumeration Date | 2006-11-24 |
| Last Updated Date | 2017-03-09 |
Provider Mailing Address Detail
| Address | 3901 University Blvd S |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 32216 |
| Phone Number | 9043457640 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PY9767 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| H360-0017 | DC | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Tresa Roebuck Spencer by the Centers for Medicare & Medicaid Services?
The Tresa Roebuck Spencer has been issued the NPI (National Provider Identifier) 1568538429, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Tresa Roebuck Spencer?
The Tresa Roebuck Spencer is physically situated at 3901 University Blvd S, in the city of Jacksonville, state of FL, with the postal code 32216.
What is Tresa Roebuck Spencer's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Tresa Roebuck Spencer is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1568538429 to Tresa Roebuck Spencer?
The Centers for Medicare & Medicaid Services originally issued the 1568538429 to Tresa Roebuck Spencer on 2006-11-24.
As of what date was the information pertaining to Tresa Roebuck Spencer, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Tresa Roebuck Spencer, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2017-03-09.
NPI Number: 1063415297
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