Individual
GRACE MODDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15955 NEW HALLS FERRY RD, FLORISSANT, MO 63031-1298
(314) 953-5000
Mailing address
3660 CONNECTICUT ST, SAINT LOUIS, MO 63116-4818
(314) 413-5351
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2024029399
MO
Other
Enumeration date
08/22/2025
Last updated
08/22/2025
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