Provider Demographics
NPI:1790413037
Name:ENGSTROM, HAYLEE ANN
Entity Type:Individual
Prefix:
First Name:HAYLEE
Middle Name:ANN
Last Name:ENGSTROM
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 1:640 COLUMBIA ST # B
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-2628
Mailing Address - Country:US
Mailing Address - Phone:972-365-5530
Mailing Address - Fax:
Practice Address - Street 1:2121 PINEGATE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-1388
Practice Address - Country:US
Practice Address - Phone:713-861-9952
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-14
Last Update Date:2022-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist