Individual
DANIELLE E WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1712 CHESTNUT AVE, NEWPORT NEWS, VA 23607-5914
(757) 928-6838
Mailing address
7628 FAYVER AVE, NORFOLK, VA 23505-2408
(240) 678-8627
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
0813001152
VA
Other
Enumeration date
05/17/2021
Last updated
08/17/2025
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