Organization
BRANSON PSYCHOLOGICAL & DIAGNOSTIC SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCI MICHELLE MANNA PSY.D. (CLINICAL PSYCHOLOGIST)
(417) 335-8466
Entity
Organization
Contact information
Practice address
574 STATE HIGHWAY 248, SUITE 3, BRANSON, MO 65616-7740
(417) 335-8466
(417) 335-8566
Mailing address
574 STATE HIGHWAY 248, SUITE 3, BRANSON, MO 65616-7740
(417) 335-8466
(417) 335-8566
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PYO1867
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
499660603
—
MO
Enumeration date
01/04/2007
Last updated
03/25/2011
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