DR. Debra R Mammadova, LP
NPI #1073066320 in Harrisonville, Missouri
Provider Information
- NPI Number
- 1073066320
- Entity Type
- Individual
- Name
- DR. Debra R Mammadova, LP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist
- Credential
- LP
- Enumeration Date
- Aug 3, 2016
- Last Updated
- Jul 7, 2022
Practice Location
- Address
- 117 S LEXINGTON ST STE 100
- City
- Harrisonville
- State
- Missouri
- ZIP Code
- 64701-2444
- Phone
- (414) 839-4579
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
| Psychologist |
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