MEDICARE: DEBORAH MARIE WAYMAN

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1588975940
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH MARIE WAYMAN

Provider Business Mailing Address
First Line	:	9435 S HIDDEN POINT DR
Second Line	:
City	:	SANDY
State	:	UT
Zip	:	84070-2528
Country	:	US
Telephone Number	:	801-971-2075
Fax Number	:

Provider Business Practice Location Address
First Line	:	8789 S HIGHLAND DR
Second Line	:	#200
City	:	SANDY
State	:	UT
Zip	:	84093-1600
Country	:	US
Telephone Number	:	801-971-2075
Fax Number	:	801-943-0599

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

Provider Enumeration Date	:	06/30/2010
Last Update Date	:	02/12/2026

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