Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Debra R Mammadova, LP

Individual provider Clinical Psychologist · NPI 1073066320

Dr. Debra R Mammadova, LP is a Clinical Psychologist in Harrisonville, Missouri. Practices as a sole proprietor. Licensed in Kansas and Missouri.

Licensed in
KS, MO
In the registry since
2016
Specialties on file
2

Practice location Address checks out

117 S Lexington St Ste 100
Harrisonville, MO 64701-2444
Phone: (414) 839-4579
Fax: (855) 202-6591
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 02979 (KS)
Clinical Psychologist Taxonomy 103TC0700X · Licence 2018042701 (MO)

Record details

NPI number1073066320
Entity typeIndividual (Type 1)
GenderFemale
Credentials LP
Sole proprietorYes
NPI enumeratedAugust 3, 2016
Last updated in NPPESFebruary 17, 2026
Certification dateFebruary 17, 2026

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