Individual
MS. ROBERTA ANNE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
200 BERKLEY ST, ASHLAND, VA 23005-1302
(804) 365-4500
(804) 365-4680
Mailing address
12263 EAGLES POINT LN, ASHLAND, VA 23005-7870
(804) 798-1516
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202008004
VA
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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