Organization
INSTITUTE FOR GIRLS' DEVELOPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELISSA JOHNSON PH.D. (PRESIDENT)
(626) 585-8075
Entity
Organization
Contact information
Practice address
95 N MARENGO AVE STE 205, PASADENA, CA 91101-1755
(626) 585-8075
(626) 585-0440
Mailing address
95 N MARENGO AVE STE 205, PASADENA, CA 91101-1755
(626) 585-8075
(626) 585-0440
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
13102
CA
Other
Enumeration date
03/01/2007
Last updated
08/22/2020
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