Provider Demographics
NPI:1497412985
Name:WAYMAN, MARIA NORMA (MA)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:NORMA
Last Name:WAYMAN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:NORMA
Other - Last Name:BAIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5000 BECHELLI LN STE 103
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96002-3553
Mailing Address - Country:US
Mailing Address - Phone:530-235-6621
Mailing Address - Fax:
Practice Address - Street 1:5000 BECHELLI LN STE 103
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96002-3553
Practice Address - Country:US
Practice Address - Phone:530-235-6621
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-19
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAMFT129127106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist