Individual
MRS. ANGELA M MATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DT
Contact information
Practice address
561 RED WOLF LN, LAKE WYLIE, SC 29710-6728
(704) 307-6127
Mailing address
561 RED WOLF LN, LAKE WYLIE, SC 29710-6728
(704) 307-6127
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
SC
Other
Enumeration date
05/22/2026
Last updated
05/22/2026
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