Provider Demographics
NPI:1730267303
Name:OSTRANDER, RICHARD FLOYD (RAODAC)
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:FLOYD
Last Name:OSTRANDER
Suffix:
Gender:M
Credentials:RAODAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1677 E 400TH RD
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66049-9101
Mailing Address - Country:US
Mailing Address - Phone:785-842-6300
Mailing Address - Fax:
Practice Address - Street 1:1031 VERMONT ST
Practice Address - Street 2:SUITE F
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66044-2921
Practice Address - Country:US
Practice Address - Phone:785-842-6300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0012101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)