Provider Demographics
NPI:1336932227
Name:THE MERTHE-GRAYSON CENTER FOR PSYCHOLOGY AND WELLNESS
Entity type:Organization
Organization Name:THE MERTHE-GRAYSON CENTER FOR PSYCHOLOGY AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:MERTHE-GRAYSON
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:440-396-9806
Mailing Address - Street 1:519 TENNEY AVE
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:OH
Mailing Address - Zip Code:44001-2252
Mailing Address - Country:US
Mailing Address - Phone:440-396-9806
Mailing Address - Fax:
Practice Address - Street 1:519 TENNEY AVE
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:OH
Practice Address - Zip Code:44001-2252
Practice Address - Country:US
Practice Address - Phone:440-396-9806
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-23
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty