MEDICARE: DR. BECKY SUE SPENCER PHD, APRN, PMHNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	1060863	TX

General Provider Information

NPI Number	:	1861151151
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BECKY SUE SPENCER PHD, APRN, PMHNP

Provider Business Mailing Address
First Line	:	1429 DOGWOOD VW
Second Line	:
City	:	OAK POINT
State	:	TX
Zip	:	75068-3054
Country	:	US
Telephone Number	:	214-506-7832
Fax Number	:	214-617-0516

Provider Business Practice Location Address
First Line	:	1429 DOGWOOD VW
Second Line	:
City	:	OAK POINT
State	:	TX
Zip	:	75068-3054
Country	:	US
Telephone Number	:	214-506-7832
Fax Number	:	214-617-0516

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/14/2021
Last Update Date	:	03/14/2026

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