Individual
MRS. COURTNEY SUBLETT WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
4641 LOCKSVIEW RD, LYNCHBURG, VA 24503-1935
(434) 665-5260
Mailing address
915 COURT ST, LYNCHBURG, VA 24504-1603
(434) 515-5000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2203000164
VA
Other
Enumeration date
04/24/2018
Last updated
04/25/2018
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