Organization
RANDY L ERVIN LLC
Active
Other names
Starwood Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY LEE ERVIN PSY.D. (PRESIDENT)
(316) 230-7900
Entity
Organization
Contact information
Practice address
727 N LINCOLN AVE STE 1, YORK, NE 68467-2948
(316) 230-7900
Mailing address
PO BOX 473, YORK, NE 68467-0473
(316) 230-7900
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
12/31/2024
Last updated
12/31/2024
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