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Individual

DR. ADRIAN ERVINGTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
1900 E MAIN ST, DANVILLE, IL 61832-5100
(217) 554-4188
Mailing address
209 E UNIVERSITY AVE APT 306, CHAMPAIGN, IL 61820-7740
(773) 510-4655

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071010114
IL
103T00000X
Psychologist
20043256A
IN
103TC2200X
Clinical Child & Adolescent Psychologist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
071010114
LICENSED CLINICAL PSYCHOLOGIST
IL
01
20043256A
LICENSED CLINICAL PSYCHOLOGIST
IN
Enumeration date
09/09/2014
Last updated
11/06/2019
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