# INSTITUTE FOR GIRLS' DEVELOPMENT

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

## Provider details

- **NPI number:** 1912035775
- **Authorized official:** DR. MELISSA JOHNSON PH.D. (PRESIDENT)
- **Authorized official phone:** (626) 585-8075

## Contact information

- **Practice address:** 95 N MARENGO AVE STE 205, PASADENA, CA 91101-1755
- **Practice address phone:** (626) 585-8075
- **Practice address fax:** (626) 585-0440
- **Mailing address:** 95 N MARENGO AVE STE 205, PASADENA, CA 91101-1755
- **Mailing address phone:** (626) 585-8075
- **Mailing address fax:** (626) 585-0440

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | 13102 | CA | Yes |

## Other

- **Enumeration date:** 03/01/2007
- **Last updated:** 08/22/2020