Individual
MS. HEATHER WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LEP NCSP
Contact information
Practice address
170 WEYMOUTH CT, VACAVILLE, CA 95687-6735
(707) 410-9824
Mailing address
170 WEYMOUTH CT, VACAVILLE, CA 95687-6735
(707) 410-9824
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
3999
CA
Other
Enumeration date
09/28/2022
Last updated
11/25/2022
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