Organization
CORE PSYCHOLOGICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONIQUE CLEMINSON (CO-FOUNDER)
(312) 343-3432
Entity
Organization
Contact information
Practice address
155 N MICHIGAN AVE STE 721, CHICAGO, IL 60601-7707
(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 (MONIQUE (HERNANDEZ) CLEMINSON)
IL
Enumeration date
02/28/2020
Last updated
03/03/2020
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