Provider Demographics
NPI:1053310177
Name:WEBBER, SARA (AUD)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:
Last Name:WEBBER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1011 WATER ST
Mailing Address - Street 2:
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15701-1662
Mailing Address - Country:US
Mailing Address - Phone:724-349-6462
Mailing Address - Fax:724-349-2485
Practice Address - Street 1:1011 WATER ST
Practice Address - Street 2:
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15701-1662
Practice Address - Country:US
Practice Address - Phone:724-349-6462
Practice Address - Fax:724-349-2485
Is Sole Proprietor?:No
Enumeration Date:2005-07-20
Last Update Date:2009-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC1053310177Medicare PIN
Q11723Medicare UPIN