Provider Demographics
NPI:1477145720
Name:ESPEGREN, HEIDI HAYES
Entity Type:Individual
Prefix:MRS
First Name:HEIDI
Middle Name:HAYES
Last Name:ESPEGREN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:147 N TAYLOR POINT DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77382-1240
Mailing Address - Country:US
Mailing Address - Phone:281-224-8994
Mailing Address - Fax:
Practice Address - Street 1:147 N TAYLOR POINT DR
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77382-1240
Practice Address - Country:US
Practice Address - Phone:281-224-8994
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-08
Last Update Date:2021-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80284101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health