Caleb Joseph Wilson, M.A., CCC-SLP
Speech-Language Pathologist, in Charlottesville, VA. Individual provider (NPI-1).
NPI number1366089989
StatusActive
Last updated in NPPESAug 25, 2023
Details
- NPI
- 1366089989
- Entity type
- Individual (NPI-1)
- Name
- Caleb Joseph Wilson
- Credential
- M.A., CCC-SLP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 2, 2019
- Certification date
- Aug 25, 2023
- Last updated
- Aug 25, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 2202010379 | VA | Yes |
| 235Z00000X | Speech-Language Pathologist, | 0003776 | CO |
Practice location
416 Albemarle SqCharlottesville, VA 22901-7400
Phone 434-220-0021 · Fax 434-465-6843
Mailing address
504 Albemarle SqCharlottesville, VA 22901-7405
Phone 434-817-7848 · Fax 434-465-6834
Other practice locations
2290 E Prospect Rd Ste 4
Fort Collins, CO 80525-9768
Fort Collins, CO 80525-9768
Phone 970-305-4730
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