Mansfield, Talon Gervis

Mansfield, Talon Gervis is an individual health care provider with primary practice located at 18 S 1St E , Rexburg ID 83440-1902. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Mansfield, Talon Gervis can be contacted via phone (208) 656-4484.

Contact Information

Primary practice address
18 S 1St E Rexburg ID 83440-1902
Phone: (208) 656-4484
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1336991272
LBN Legal business name Mansfield, Talon Gervis
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2024
Last updated Apr 3rd, 2024 - about 2 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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