Provider Demographics
NPI:1588975940
Name:WAYMAN, DEBORAH MARIE
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:MARIE
Last Name:WAYMAN
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 1:9435 S HIDDEN POINT DR
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84070-2528
Mailing Address - Country:US
Mailing Address - Phone:801-971-2075
Mailing Address - Fax:
Practice Address - Street 1:8789 S HIGHLAND DR
Practice Address - Street 2:#200
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84093-1600
Practice Address - Country:US
Practice Address - Phone:801-971-2075
Practice Address - Fax:801-943-0599
Is Sole Proprietor?:No
Enumeration Date:2010-06-30
Last Update Date:2014-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health