Ervin, Lydia

Ervin, Lydia is an individual health care provider with primary practice located at 1210 13Th St , Parkersburg WV 26101-4144. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Ervin, Lydia can be contacted via phone (304) 420-9663.

Contact Information

Primary practice address
1210 13Th St Parkersburg WV 26101-4144
Phone: (304) 420-9663
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 09124248 Maryland

Profile Details

NPI number 1629249685
LBN Legal business name Ervin, Lydia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2008
Last updated Mar 18th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629249685 NPPES
West Virginia MEDICAID 0002093000

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