Randy L Ervin LLC

NPI #1437973187 in York, Nebraska

Provider Information

NPI Number: 1437973187
Entity Type: Organization
Organization Name: Randy L Ervin LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Nov 11, 2024
Last Updated: Nov 12, 2024

Practice Location

Address: 727 N LINCOLN AVE STE 1
City: York
State: Nebraska
ZIP Code: 68467-2948
Phone: (316) 230-7900

Authorized Official

Name: DR. RANDY LEE ERVIN, PSY.D.
Title: CLINICAL PSYCHOLOGIST/ADMINISTRATOR
Phone: (316) 230-7900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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