Individual
BEVERLY S OOSTERHOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSE
Contact information
Practice address
1244 C MIDWAY RD, MENASHA, WI 54952-1128
(920) 722-8150
(920) 722-0142
Mailing address
1244 C MIDWAY RD, MENASHA, WI 54952-1128
(920) 722-8150
(920) 722-0142
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2562125
WI
104100000X
Social Worker
Primary
894121
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39787700
—
WI
Enumeration date
10/11/2006
Last updated
09/11/2025
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