Mrs Angela M Matos, DT is a
Psychologist based in Lake Wylie, South Carolina. Mrs Angela M Matos is licensed to practice in South Carolina (license number ) and her current practice location is
561 Red Wolf Ln, Lake Wylie, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(704) 307-6127.
NPI number for Mrs Angela M Matos is 1902736697 and her current mailing address is 561 Red Wolf Ln, Lake Wylie, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902736697.
Healthcare Provider's Profile
| Full Name | Mrs Angela M Matos |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist |
|---|
| Location | 561 Red Wolf Ln, Lake Wylie, South Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1902736697
- Provider Enumeration Date: 05/22/2026
- Last Update Date: 05/22/2026
Medical Identifiers
Medical identifiers for Mrs Angela M Matos such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1902736697 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103T00000X | Psychologist | (South Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Angela M Matos is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mrs Angela M Matos, DT 561 Red Wolf Ln, Lake Wylie, SC 29710-6728 Ph: (704) 307-6127 | Mrs Angela M Matos, DT 561 Red Wolf Ln, Lake Wylie, SC 29710-6728 Ph: (704) 307-6127 |
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