MEDICARE: LYNN TRESTE WESTRY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1922160688
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LYNN TRESTE WESTRY

Provider Business Mailing Address
First Line	:	1192 GILMAN AVE
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94124-3623
Country	:	US
Telephone Number	:	414-970-3861
Fax Number	:	415-970-3855

Provider Business Practice Location Address
First Line	:	1192 GILMAN AVE
Second Line	:	3801 3RD STREET
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94124-3623
Country	:	US
Telephone Number	:	415-970-3861
Fax Number	:	415-970-3855

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2006
Last Update Date	:	07/08/2007

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Directions to “ LYNN TRESTE WESTRY ” Practice Location

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