Pamela Ervin

NPI #1487010856 in Charleston, Illinois

Provider Information

NPI Number: 1487010856
Entity Type: Individual
Name: Pamela Ervin
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Developmental Therapist
Enumeration Date: Jan 14, 2016
Last Updated: Jan 14, 2016

Practice Location

Address: 1600 LINCOLN AVE
City: Charleston
State: Illinois
ZIP Code: 61920-2982
Phone: (217) 348-0127

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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