Provider Demographics
NPI:1588977367
Name:DARBY-MULLINS, PAMELA ANNE (PHD)
Entity type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:ANNE
Last Name:DARBY-MULLINS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9229 WARD PKWY
Mailing Address - Street 2:SUITE 225
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64114-3326
Mailing Address - Country:US
Mailing Address - Phone:816-444-5511
Mailing Address - Fax:816-822-8058
Practice Address - Street 1:9229 WARD PKWY
Practice Address - Street 2:SUITE 225
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114-3326
Practice Address - Country:US
Practice Address - Phone:816-444-5511
Practice Address - Fax:816-822-8058
Is Sole Proprietor?:No
Enumeration Date:2010-07-21
Last Update Date:2012-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2008001977103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist