Individual
RANDY LEE ERVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
223 E 8TH ST, YORK, NE 68467-3040
(402) 710-0564
(833) 382-0104
Mailing address
223 E 8TH ST, YORK, NE 68467-3040
(402) 710-0564
(833) 382-0104
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
708
NE
Other
Enumeration date
10/06/2022
Last updated
10/13/2022
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