Individual
JACK ERVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SLP
Contact information
Practice address
1914 IRON WHEEL DR UNIT 2, WINDSOR, CO 80550-3897
(815) 549-8089
(855) 678-8887
Mailing address
1914 IRON WHEEL DR UNIT 2, WINDSOR, CO 80550-3897
(815) 549-8089
(855) 678-8887
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0005899
CO
Other
Enumeration date
03/04/2025
Last updated
03/04/2025
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