| Dr Debra R Mammadova, LP | |
|
117 S Lexington St Ste 100, Harrisonville, MO 64701-2444 | |
| (414) 839-4579 | |
| (855) 202-6591 |
| Full Name | Dr Debra R Mammadova |
|---|---|
| Gender | Female |
| Speciality | Psychologist |
| Location | 117 S Lexington St Ste 100, Harrisonville, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073066320 | NPI | - | NPPES |
| 20113801B | Medicaid | KS | |
| 490057295 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 2018042701 (Missouri) | Secondary |
| 103TC0700X | Psychologist - Clinical | 02979 (Kansas) | Secondary |
| 103T00000X | Psychologist | 2713 (Kansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Debra R Mammadova, LP 2400 Linden Dr, Kansas City, KS 66106-4427 Ph: (414) 839-4579 | Dr Debra R Mammadova, LP 117 S Lexington St Ste 100, Harrisonville, MO 64701-2444 Ph: (414) 839-4579 |
Mr. Scott A Maid, PSY.D., PLPC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 302 E Wall St, Harrisonville, MO 64701 Phone: 816-884-5777 Fax: 816-884-5778 | |
Ms. Undine Fisher, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 305 W Wall St, Suite A, Harrisonville, MO 64701 Phone: 816-716-4237 | |
Dr. Kristen L Davis, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 306 S Independence St, Harrisonville, MO 64701 Phone: 816-380-4010 Fax: 816-887-5703 | |
Dr. Roger P. Wise, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 306 S Independence St, Harrisonville, MO 64701 Phone: 816-380-4010 Fax: 816-887-5703 |