Most Relevant Information
Provider Data
| NPI Number: | 1003662180 |
| Provider Name: | KATHERINE WILSON PSYD |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC0700X |
| Specialty: | Psychologist |
| License Number: | 0810008480 |
Most Important Dates
| Enumeration Date: | 04/29/2024 |
| Last Updated: | 04/29/2024 |
Provider Practice Location
170 S PANTOPS DR
CHARLOTTESVILLE
VA
229118672
Practice Location Phone/Fax
| Phone: | 7479995019 |
| Fax: |
Provider Mailing Location
170 S PANTOPS DR
CHARLOTTESVILLE
VA
229118672
Provider Mailing Phone/Fax
| Phone: | 7479995019 |
| Fax: |