IndividualActive
Amaya Ervin, ST
NPI 1174401426 · Speech-Language Pathologist · Jackson, MS
Provider details
- NPI number
- 1174401426
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- ST
- Sex
- Female
- Sole proprietor
- Yes
- License
- 202501954 (MO)
Mailing address
4722 Satinwood St
Jackson, MS 39212-5857
Registry dates
- Enumerated
- 2025-08-25
- Last updated
- 2025-08-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.