Individual
SONIA MATWIN VAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1601 23RD AVE S FL 3, VANDERBILT UNIVERSITY MEDICAL CENTER, NASHVILLE, TN 37212-3133
(615) 322-5976
Mailing address
1601 23RD AVE S FL 3, VANDERBILT UNIVERSITY MEDICAL CENTER, NASHVILLE, TN 37212-3133
(615) 322-5976
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3420
TN
103TC0700X
Clinical Psychologist
9972
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110026265E
—
MA
Enumeration date
08/31/2012
Last updated
10/19/2020
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