Provider Demographics
NPI:1235922568
Name:OLSBERG, HALEY
Entity type:Individual
Prefix:
First Name:HALEY
Middle Name:
Last Name:OLSBERG
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 1:730 COUNTY ROAD 459
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:TX
Mailing Address - Zip Code:76579-3215
Mailing Address - Country:US
Mailing Address - Phone:805-358-4113
Mailing Address - Fax:
Practice Address - Street 1:2300 E RANCIER AVE STE 103
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76543-3450
Practice Address - Country:US
Practice Address - Phone:254-781-3447
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-28
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX121059235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist