| Branson Psychological & Diagnostic Services PC | |
|
574 State Highway 248 Suite 3 Branson MO 65616-7740 | |
| (417) 335-8466 | |
| (417) 335-8566 |
| Full Name | Branson Psychological & Diagnostic Services PC |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 574 State Highway 248, Branson, Missouri |
| Authorized Official Name and Position | Marci Michelle Manna (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 4173358466 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Branson Psychological & Diagnostic Services PC 574 State Highway 248 Suite 3 Branson MO 65616-7740 Ph: (417) 335-8466 | Branson Psychological & Diagnostic Services PC 574 State Highway 248 Suite 3 Branson MO 65616-7740 Ph: (417) 335-8466 |
| NPI Number | 1689721698 |
|---|---|
| Provider Enumeration Date | 01/04/2007 |
| Last Update Date | 03/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689721698 | NPI | - | NPPES |
| 499660603 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PYO1867 (Missouri) | Primary |
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