Provider Demographics
NPI:1740140136
Name:POND, HALEY SUE
Entity type:Individual
Prefix:
First Name:HALEY
Middle Name:SUE
Last Name:POND
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 1:808 WILLIAMS ST APT 26
Mailing Address - Street 2:
Mailing Address - City:TOMAH
Mailing Address - State:WI
Mailing Address - Zip Code:54660-1472
Mailing Address - Country:US
Mailing Address - Phone:608-451-4490
Mailing Address - Fax:
Practice Address - Street 1:601 N SUPERIOR AVE STE 2
Practice Address - Street 2:
Practice Address - City:TOMAH
Practice Address - State:WI
Practice Address - Zip Code:54660-1589
Practice Address - Country:US
Practice Address - Phone:608-205-8860
Practice Address - Fax:608-506-1114
Is Sole Proprietor?:No
Enumeration Date:2025-11-17
Last Update Date:2025-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician