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
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