Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DEBRA R MAMMADOVA, LP
Active Sole ProprietorDR. DEBRA R MAMMADOVA, LP is a Clinical Psychologist healthcare provider located in HARRISONVILLE, Missouri. NPI 1073066320 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · HARRISONVILLE, MO
Registration Details
- NPI Number
- 1073066320
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 3, 2016 (9.9931497784033 yrs)
- Last Updated
- Feb 17, 2026
- Licenses
-
02979 (KS)2018042701 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
117 S LEXINGTON ST STE 100HARRISONVILLE, MO, 647012444Browse MO providers · Browse ZIP 64701
- Phone
- 4148394579
- Fax
- 8552026591
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Clinical Psychologist
Other Clinical Psychologist Providers in HARRISONVILLE, MO
| Name | Credential | NPI |
|---|---|---|
| DR. ROGER P. WISE | PSY.D. | 1942390455 |
| DR. KRISTEN L DAVIS | PSY.D | 1568762029 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.