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Organization

MONIQUE CLEMINSON, PSY.D., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MONIQUE E. CLEMINSON HERNANDEZ (PRESIDENT)
(847) 673-9433
Entity
Organization

Contact information

Practice address
9933 LAWLER AVE, SUITE 324, SKOKIE, IL 60077-3703
(847) 673-9433
(847) 673-9431
Mailing address
9933 LAWLER AVE, SUITE 324, SKOKIE, IL 60077-3703
(847) 673-9433
(847) 673-9431

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071007070
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1932231461
TPE I NPI (MONIQUE CLEMINSON)
IL
Enumeration date
08/29/2008
Last updated
03/03/2020
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