Healthcare Provider Details

I. General information

NPI: 1699608737
Provider Name (Legal Business Name): BRITTANY LEIGH REDDEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 BEASER AVE
ASHLAND WI
54806-3605
US

IV. Provider business mailing address

31 N GRANT ST
GLIDDEN WI
54527-7737
US

V. Phone/Fax

Practice location:
  • Phone: 715-682-7089
  • Fax:
Mailing address:
  • Phone: 773-398-5429
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number874353
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: