Individual
CALEB JOSEPH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., CCC-SLP
Contact information
Practice address
416 ALBEMARLE SQ, CHARLOTTESVILLE, VA 22901-7400
(434) 220-0021
(434) 465-6843
Mailing address
504 ALBEMARLE SQ, CHARLOTTESVILLE, VA 22901-7405
(434) 817-7848
(434) 465-6834
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
0003776
CO
235Z00000X
Speech-Language Pathologist
Primary
2202010379
VA
Other
Enumeration date
12/02/2019
Last updated
08/25/2023
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