Organization
MIND CHICAGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID A MEYERSON PHD (EXECUTIVE DIRECTOR)
(312) 667-3775
Entity
Organization
Contact information
Practice address
4411 N RAVENSWOOD AVE STE 225, CHICAGO, IL 60640-5802
(312) 667-3775
Mailing address
4411 N RAVENSWOOD AVE STE 225, CHICAGO, IL 60640-5802
(312) 667-3775
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/15/2019
Last updated
04/24/2023
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