NPI 1679489009 · live from the CMS NPI Registry
Susan Abraham
Psychologist, School in Granada Hills, CA. National Provider Identifier 1679489009, active.
NPI record
| NPI | 1679489009 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, School 103TS0200X |
| Practice location | 17797 Ridgeway Rd, Granada Hills, CA 91344 |
| Practice phone | 818-425-3685 |
| Enumerated | August 24, 2026 |
| Last updated | August 24, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, School primary | 103TS0200X | 230091980 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.