Grider, Ida Jane

Grider, Ida Jane is an individual health care provider with primary practice located at 12755 Olive Blvd Ste 115 Suite 115, Saint Louis MO 63141-6242. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Grider, Ida Jane can be contacted via phone (314) 898-0100.

Contact Information

Primary practice address
12755 Olive Blvd Ste 115 Suite 115 Saint Louis MO 63141-6242
Phone: (314) 898-0100
Fax: (314) 371-6508
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 101Y00000X Missouri

Profile Details

NPI number 1891906509
LBN Legal business name Grider, Ida Jane
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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