Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carla Tellor Grundy

Individual provider Speech-Language Pathologist · NPI 1972843456

Carla Tellor Grundy is a Qualified Speech Language Pathologist in Saint Louis, Missouri. Qualified in 1993, 33 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in California, Florida, Illinois and Indiana and 3 more.

Years since qualifying
33
Licensed in
CA, FL, IL, IN, ME, MO
In the registry since
2013
Specialties on file
7
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Practice location Address checks out

121 Park Rd
Saint Louis, MO 63119-2528
Phone: (314) 452-4415
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1701 Troost Ave # 1258, Kansas City, MO 64108-1540 — (512) 377-6318

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 30005117 (NC)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence SA21055 (FL)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 30892 (CA)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 22008391A (IN)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence SP4430 (ME)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 2008022570 (MO)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 146004652 (IL)

Record details

NPI number1972843456
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 21, 2013
Last updated in NPPESMay 29, 2026
Certification dateMay 29, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Accepts Medicare assignment Not indicated

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