Individual
GABRIELLE KAMINSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2501 CHATHAM RD STE 8022, SPRINGFIELD, IL 62704-4188
(312) 447-9514
Mailing address
2501 CHATHAM RD STE 8022, SPRINGFIELD, IL 62704-4188
(312) 447-9514
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.010617
IL
Other
Enumeration date
09/27/2021
Last updated
12/01/2023
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