| Institute For Girls' Development | |
|
95 N Marengo Ave Ste 205 Pasadena CA 91101-1755 | |
| (626) 585-8075 | |
| (626) 585-0440 |
| Full Name | Institute For Girls' Development |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 95 N Marengo Ave Ste 205, Pasadena, California |
| Authorized Official Name and Position | Melissa Johnson (PRESIDENT) |
| Authorized Official Contact | 6265858075 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Institute For Girls' Development 95 N Marengo Ave Ste 205 Pasadena CA 91101-1755 Ph: (626) 585-8075 | Institute For Girls' Development 95 N Marengo Ave Ste 205 Pasadena CA 91101-1755 Ph: (626) 585-8075 |
| NPI Number | 1912035775 |
|---|---|
| Provider Enumeration Date | 03/01/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912035775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 13102 (California) | Primary |
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