Healthcare Provider Details

I. General information

NPI: 1699617027
Provider Name (Legal Business Name): LANGLEY CAMERON PARKER MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2026
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9515 DEERECO RD STE 819
TIMONIUM MD
21093-2169
US

IV. Provider business mailing address

701 W PRATT ST FL 4
BALTIMORE MD
21201-1023
US

V. Phone/Fax

Practice location:
  • Phone: 301-742-9914
  • Fax:
Mailing address:
  • Phone: 410-328-3522
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberA0994
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: