Angela M Matos, DT
Psychologist in Lake Wylie, SC. Individual provider (NPI-1).
NPI number1902736697
StatusActive
Last updated in NPPESMay 22, 2026
Details
- NPI
- 1902736697
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Angela M Matos
- Credential
- DT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 22, 2026
- Certification date
- May 22, 2026
- Last updated
- May 22, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | – | SC | Yes |
Practice location
561 Red Wolf LnLake Wylie, SC 29710-6728
Phone 704-307-6127
Mailing address
561 Red Wolf LnLake Wylie, SC 29710-6728
Phone 704-307-6127
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