Provider Demographics
NPI:1164218038
Name:ESPERTI, MARK
Entity type:Individual
Prefix:
First Name:MARK
Middle Name:
Last Name:ESPERTI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 N PALM CANYON DR STE 103-134
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92262-5672
Mailing Address - Country:US
Mailing Address - Phone:760-206-8017
Mailing Address - Fax:
Practice Address - Street 1:901 E TAHQUITZ CANYON WAY STE A201
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-6762
Practice Address - Country:US
Practice Address - Phone:760-206-8017
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-17
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist