CARLA TELLOR GRUNDY

SAINT LOUIS, MO
NPI1972843456
Former NameCARLA TELLOR
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NC  30005117)
Additional Taxonomies235Z00000X Speech-Language Pathologist,
(Licence: FL  SA21055)
235Z00000X Speech-Language Pathologist,
(Licence: CA  30892)
235Z00000X Speech-Language Pathologist,
(Licence: IN  22008391A)
235Z00000X Speech-Language Pathologist,
(Licence: ME  SP4430)
235Z00000X Speech-Language Pathologist,
(Licence: MO  2008022570)
235Z00000X Speech-Language Pathologist,
(Licence: IL  146004652)
Enumeration Date2013-02-21
Last Update Date2026-05-29
Business Address
CARLA TELLOR GRUNDY
121 PARK RD
SAINT LOUIS, MO 63119-2528
Phone number: 314-452-4415
Mailing Address
CARLA TELLOR GRUNDY
121 PARK RD
SAINT LOUIS, MO 63119-2528
Phone number: 314-452-4415