Provider Demographics
NPI:1831347947
Name:SADOWSKY, MATTHEW (MA)
Entity type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:
Last Name:SADOWSKY
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 621
Mailing Address - Street 2:
Mailing Address - City:JOHNSON
Mailing Address - State:VT
Mailing Address - Zip Code:05656-0621
Mailing Address - Country:US
Mailing Address - Phone:802-635-2805
Mailing Address - Fax:
Practice Address - Street 1:95 SCHOOL STREET
Practice Address - Street 2:
Practice Address - City:JOHNSON
Practice Address - State:VT
Practice Address - Zip Code:05656-0621
Practice Address - Country:US
Practice Address - Phone:802-635-2805
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-03
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT047-0000734103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical