Organization
CLEMINSON PSYCHOLOGICAL SERVICES, PLLC
Active
Other names
Open Mind Therapy Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONIQUE CLEMINSON PSYD (CLINICAL PSYCHOLOGIST)
(312) 343-3432
Entity
Organization
Contact information
Practice address
9933 LAWLER AVE STE 324, SKOKIE, IL 60077-3730
(312) 343-3432
Mailing address
155 N MICHIGAN AVE STE 721, CHICAGO, IL 60601-7707
(312) 343-3432
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932231461
TYPE I NPI
IL
Enumeration date
03/03/2020
Last updated
10/28/2021
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