Provider Demographics
NPI:1376223495
Name:VALDESPINO HAYDEN, ZERBRINA ELEANOR (PHD)
Entity Type:Individual
Prefix:
First Name:ZERBRINA
Middle Name:ELEANOR
Last Name:VALDESPINO HAYDEN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:545 W MINER ST APT 1E
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-1393
Mailing Address - Country:US
Mailing Address - Phone:630-802-4716
Mailing Address - Fax:
Practice Address - Street 1:325 S PAULINA ST FL 2
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-3206
Practice Address - Country:US
Practice Address - Phone:312-942-0779
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-24
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5082-57103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical