Individual
HEIDI WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
270 WILSON ACRES ROAD, TAPPAHANNOCK, VA 22560
(804) 874-8744
Mailing address
PO BOX 2776, TAPPAHANNOCK, VA 22560-2776
(804) 874-8744
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202001049
VA
Other
Enumeration date
02/15/2012
Last updated
02/17/2022
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