Provider Demographics
NPI:1538934047
Name:MEGAN C. MERRIWETHER PSYCHOLOGICAL SERVICES, PLLC
Entity type:Organization
Organization Name:MEGAN C. MERRIWETHER PSYCHOLOGICAL SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:MERRIWETHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-300-5865
Mailing Address - Street 1:408 E 5TH ST
Mailing Address - Street 2:
Mailing Address - City:PORT ANGELES
Mailing Address - State:WA
Mailing Address - Zip Code:98362-3209
Mailing Address - Country:US
Mailing Address - Phone:206-300-5865
Mailing Address - Fax:
Practice Address - Street 1:105 1/2 E 1ST ST STE C
Practice Address - Street 2:
Practice Address - City:PORT ANGELES
Practice Address - State:WA
Practice Address - Zip Code:98362-2929
Practice Address - Country:US
Practice Address - Phone:206-300-5865
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-15
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty