# TOWN AND COUNTRY PSYCHIATRY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851691406
- **Authorized official:** SRIDEVI GAVIRNENI MD (M.D)
- **Authorized official phone:** (314) 265-2939

## Contact information

- **Practice address:** 1585 WOODLAKE DR STE 115, CHESTERFIELD, MO 63017-5740
- **Practice address phone:** (314) 392-9483
- **Mailing address:** 1585 WOODLAKE DR STE 115, CHESTERFIELD, MO 63017-5740
- **Mailing address phone:** (314) 392-9483

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/29/2010
- **Last updated:** 10/29/2010
