Individual
KATHERINE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
170 S PANTOPS DR, CHARLOTTESVILLE, VA 22911-8672
(747) 999-5019
Mailing address
170 S PANTOPS DR, CHARLOTTESVILLE, VA 22911-8672
(747) 999-5019
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810008480
VA
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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