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Contact Information

CARLA TELLOR GRUNDY
121 PARK RD
SAINT LOUIS, MO63119-2528
 Phone: 314-452-4415
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Care

251J00000X
Indicates primary specialty

NPI Profile & details for CARLA TELLOR GRUNDY

NPI # 1124367198
LBN Legal business name CARLA TELLOR GRUNDY
Authorized official CARLA GRUNDY - (SPEECH-LANGUAGE PATHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 02/11/2013
Last updated 02/11/2013 - About 13 years ago
Identifiers
MO License # 2008022570
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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