Provider Demographics
NPI:1447498878
Name:TOLOD, EMELINDA V (MD)
Entity type:Individual
Prefix:DR
First Name:EMELINDA
Middle Name:V
Last Name:TOLOD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:EMELINDA
Other - Middle Name:G
Other - Last Name:TOLOD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2620 N WESTWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:POPLAR BLUFF
Mailing Address - State:MO
Mailing Address - Zip Code:63901-3396
Mailing Address - Country:US
Mailing Address - Phone:573-776-2000
Mailing Address - Fax:573-776-2790
Practice Address - Street 1:706 THE HAMPTONS LN
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-5901
Practice Address - Country:US
Practice Address - Phone:314-878-2587
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-22
Last Update Date:2016-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR59172084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry