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General NPI Number Information
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NPI Number | 1871575399
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Entity Type | Individual
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Provider Name | ROY M. ISENBERG PH.D.
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Gender | Male
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Dates
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Enumeration Date | 11/18/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 717 NW 56TH ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73118-6030
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Country | US
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Telephone | 404-415-2303
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Fax | 415-415-2301
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Provider Business Mailing Address
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Address Line | 717 NW 56TH ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73118-6030
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Country | US
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Telephone | 404-415-2303
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Fax | 415-415-2301
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 313
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 103TH0100X
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Taxonomy Name | Health Service Psychologist
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License Number | 313
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License Number State | OK
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