Individual
ANGELA SCAVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYCHOLOGIST MASTER
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
047.0133713
VT
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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