Individual
DR. CHARLES JOSEPH WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
501 SKIPPACK PIKE, BLUE BELL, PA 19422-2148
(215) 542-1466
(215) 643-0486
Mailing address
501 SKIPPACK PIKE, BLUE BELL, PA 19422-2148
(215) 542-1466
(215) 643-0486
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS001278L
PA
Other
Enumeration date
08/24/2006
Last updated
07/08/2007
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