Provider Demographics
NPI:1922160688
Name:WESTRY, LYNN TRESTE
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:TRESTE
Last Name:WESTRY
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 1:1192 GILMAN AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94124-3623
Mailing Address - Country:US
Mailing Address - Phone:414-970-3861
Mailing Address - Fax:415-970-3855
Practice Address - Street 1:1192 GILMAN AVE
Practice Address - Street 2:3801 3RD STREET
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94124-3623
Practice Address - Country:US
Practice Address - Phone:415-970-3861
Practice Address - Fax:415-970-3855
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor