Provider Demographics
NPI:1588874440
Name:ESLINGER, CONNIE L (PHD)
Entity type:Individual
Prefix:DR
First Name:CONNIE
Middle Name:L
Last Name:ESLINGER
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 1:14435 CYPRESS RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-6308
Mailing Address - Country:US
Mailing Address - Phone:281-320-1841
Mailing Address - Fax:
Practice Address - Street 1:10601 GRANT RD STE 114
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-4449
Practice Address - Country:US
Practice Address - Phone:281-320-1841
Practice Address - Fax:281-890-9528
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX24948103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist