Provider Demographics
NPI:1215750070
Name:GRAY, JOTOYA L (PSD)
Entity type:Individual
Prefix:
First Name:JOTOYA
Middle Name:L
Last Name:GRAY
Suffix:
Gender:F
Credentials:PSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16781 CHAGRIN BLVD # 190
Mailing Address - Street 2:
Mailing Address - City:SHAKER HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44120-3721
Mailing Address - Country:US
Mailing Address - Phone:216-545-7626
Mailing Address - Fax:
Practice Address - Street 1:16781 CHAGRIN BLVD # 190
Practice Address - Street 2:
Practice Address - City:SHAKER HTS
Practice Address - State:OH
Practice Address - Zip Code:44120-3721
Practice Address - Country:US
Practice Address - Phone:216-545-7626
Practice Address - Fax:216-545-7626
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-31
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula