Doctor Name: | MS. JEAN SHELTON WAYMAN |
NPI Number: | 1538259858 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC |
License Number: | 11452 |
Business Practice Address: | 2124 N 25th St Waco, TX - 767083317 |
Business Phone Number: | 2542352430 |
Business Fax Number: | 2542352434 |
Mailing Address: | 130 Mecca Rd, WACO |
State: | TX |
Postal Code: | 767107233 |
Phone Number: | 2547562337 |
Fax Number: | |
NPI Enumeration Date: | 10/15/2006 |
NPI Last Update Date: | 11/30/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 11452 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |