Provider Demographics
NPI:1508475872
Name:ESPARZA, DELIA VIRGINIA (PHD, PMHCNS-BC, LMFT)
Entity Type:Individual
Prefix:DR
First Name:DELIA
Middle Name:VIRGINIA
Last Name:ESPARZA
Suffix:
Gender:F
Credentials:PHD, PMHCNS-BC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8501 ALOPHIA DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78739-2105
Mailing Address - Country:US
Mailing Address - Phone:512-573-3271
Mailing Address - Fax:
Practice Address - Street 1:8501 ALOPHIA DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78739-2105
Practice Address - Country:US
Practice Address - Phone:512-573-3271
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-23
Last Update Date:2020-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2478106H00000X
TXAP103214364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental HealthGroup - Single Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty