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Organization
CHILD DEVELOPMENT INSTITUTE
Active
Organization
CHILD DEVELOPMENT INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TESSA GRAHAM LMFT (EXECUTIVE DIRECTOR)
(818) 888-4559
Entity
Organization
Contact information
Practice address
18050 VANOWEN ST, RESEDA, CA 91335-5638
(818) 888-4559
(818) 888-4005
Mailing address
18050 VANOWEN ST, RESEDA, CA 91335-5638
(818) 888-4559
(818) 888-4005
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
NULL
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
261QP2000X
Physical Therapy Clinic/Center
—
NULL
261QX0100X
Occupational Medicine Clinic/Center
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295933034
NPI-ST ANNE'S
CA
01
—
7666
DMH COUNTY #
CA
Enumeration date
03/13/2007
Last updated
08/15/2025
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