# CHILD DEVELOPMENT INSTITUTE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770616310
- **Authorized official:** TESSA GRAHAM LMFT (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (818) 888-4559

## Contact information

- **Practice address:** 18050 VANOWEN ST, RESEDA, CA 91335-5638
- **Practice address phone:** (818) 888-4559
- **Practice address fax:** (818) 888-4005
- **Mailing address:** 18050 VANOWEN ST, RESEDA, CA 91335-5638
- **Mailing address phone:** (818) 888-4559
- **Mailing address fax:** (818) 888-4005

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | Yes |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | — | Yes |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/13/2007
- **Last updated:** 08/15/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1295933034 | NPI-ST ANNE'S | CA |
| 01 | — | 7666 | DMH COUNTY \# | CA |