Provider Demographics
NPI:1588128631
Name:OSTERBAUER, MEGHAN KRUEGER (LPC)
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:KRUEGER
Last Name:OSTERBAUER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:MEGHAN
Other - Middle Name:ANN
Other - Last Name:KRUEGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:5205 COOK ST
Mailing Address - Street 2:
Mailing Address - City:MCFARLAND
Mailing Address - State:WI
Mailing Address - Zip Code:53558-9505
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5205 COOK ST
Practice Address - Street 2:
Practice Address - City:MCFARLAND
Practice Address - State:WI
Practice Address - Zip Code:53558-9505
Practice Address - Country:US
Practice Address - Phone:608-571-7282
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-23
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI7016-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional