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NPI Code Detail

MEDICARE: TAMMY LANGLEY-PROUT PSY.D.

MEDICARE: TAMMY LANGLEY-PROUT PSY.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist07173MD

General Provider Information

NPI Number : 1598157257
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMMY LANGLEY-PROUT PSY.D.
Provider Business Mailing Address
First Line : 1910 TOWNE CENTRE BLVD STE 250
Second Line :
City : ANNAPOLIS
State : MD
Zip : 21401-3599
Country : US
Telephone Number : 443-203-9103
Fax Number :
Provider Business Practice Location Address
First Line : 1910 TOWNE CENTRE BLVD STE 250
Second Line :
City : ANNAPOLIS
State : MD
Zip : 21401-3599
Country : US
Telephone Number : 443-203-9103
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2015
Last Update Date : 08/14/2024

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