Organization
VINE PSYCHOLOGICAL SERVICES, LLC
Active
Organization
VINE PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMMY LANGLEY-PROUT PSY.D. (OWNER/CLINICAL PSYCHOLOGIST)
(443) 203-9103
Entity
Organization
Contact information
Practice address
1910 TOWNE CENTRE BLVD STE 250, ANNAPOLIS, MD 21401-3599
(443) 203-9103
Mailing address
1910 TOWNE CENTRE BLVD STE 250, ANNAPOLIS, MD 21401-3599
(443) 203-9103
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up