Emologic Clinic, LLC

NPI #1528400173 in Branson, Missouri

Provider Information

NPI Number: 1528400173
Entity Type: Organization
Organization Name: Emologic Clinic, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: EMOLOGIC CLINIC LLC
Primary Specialty: Psychiatry & Neurology - Psychiatry
Enumeration Date: Jul 24, 2013
Last Updated: Jul 24, 2013

Practice Location

Address: 500 W. MAIN
Address 2: STE 204
City: Branson
State: Missouri
ZIP Code: 65616
Phone: (417) 243-7777

Authorized Official

Name: MR. SHAHID INSAF, M.D.
Title: OWNER/PSYCHIATRIST
Phone: (417) 243-7777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse - Psychiatric/Mental Health, Adult — Psychiatric/Mental Health, Adult	163WP0809X
Psychiatry & Neurology - Psychiatry — Psychiatry	2084P0800X	Primary

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