Organization
TOWN AND COUNTRY PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SRIDEVI GAVIRNENI MD (M.D)
(314) 265-2939
Entity
Organization
Contact information
Practice address
1585 WOODLAKE DR STE 115, CHESTERFIELD, MO 63017-5740
(314) 392-9483
Mailing address
1585 WOODLAKE DR STE 115, CHESTERFIELD, MO 63017-5740
(314) 392-9483
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
10/29/2010
Last updated
10/29/2010
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