Provider Demographics
NPI:1043038615
Name:WESTON, SARAH LYNN
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:LYNN
Last Name:WESTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:LYNN
Other - Last Name:CONKLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9825 178TH WAY SW
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:WA
Mailing Address - Zip Code:98579-9559
Mailing Address - Country:US
Mailing Address - Phone:360-888-4287
Mailing Address - Fax:
Practice Address - Street 1:9825 178TH WAY SW
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:WA
Practice Address - Zip Code:98579-9559
Practice Address - Country:US
Practice Address - Phone:360-888-4287
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-01
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician