Provider Demographics
NPI:1972838225
Name:WETTON, SARAH VANESSA
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:VANESSA
Last Name:WETTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:VANESSA
Other - Last Name:MCGARRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2810 W 35TH ST
Mailing Address - Street 2:SUITE #2
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68845-2909
Mailing Address - Country:US
Mailing Address - Phone:308-237-7390
Mailing Address - Fax:308-237-2768
Practice Address - Street 1:2810 W 35TH ST
Practice Address - Street 2:SUITE #2
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68845-2909
Practice Address - Country:US
Practice Address - Phone:308-237-7390
Practice Address - Fax:308-237-2768
Is Sole Proprietor?:No
Enumeration Date:2009-10-05
Last Update Date:2011-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1435235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist