MEDICARE: JANA WAYMENT

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	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1699474791
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANA WAYMENT

Provider Business Mailing Address
First Line	:	2745 S HARTFORD ST
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84106-3652
Country	:	US
Telephone Number	:	801-232-1577
Fax Number	:

Provider Business Practice Location Address
First Line	:	1571 E 1300 S
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84105-1741
Country	:	US
Telephone Number	:	801-584-2940
Fax Number	:

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

Provider Enumeration Date	:	02/27/2023
Last Update Date	:	02/27/2023

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Directions to “ JANA WAYMENT ” Practice Location

Language	Start Address	Practice Location

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