Provider Demographics
NPI:1720646870
Name:OSTRANDER, HALEY BRIEANNA
Entity type:Individual
Prefix:
First Name:HALEY
Middle Name:BRIEANNA
Last Name:OSTRANDER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:HALEY
Other - Middle Name:BRIEANNA
Other - Last Name:WILCOX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:122 E OLIN AVE STE 220
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53713-1482
Mailing Address - Country:US
Mailing Address - Phone:608-490-5343
Mailing Address - Fax:
Practice Address - Street 1:122 E OLIN AVE STE 220
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53713-1482
Practice Address - Country:US
Practice Address - Phone:608-490-5343
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-04
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical