Mason-Grissom, Dynesha Dione

Mason-Grissom, Dynesha Dione is an individual health care provider with primary practice located at 2500 Galen Dr Ste 104 , Champaign IL 61821-7038. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Mason-Grissom, Dynesha Dione can be contacted via phone (217) 693-6072.

Contact Information

Primary practice address
2500 Galen Dr Ste 104 Champaign IL 61821-7038
Phone: (217) 693-6072
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X
Behavioral Health & Social Service Providers / Family 103TF0000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1043789688
LBN Legal business name Mason-Grissom, Dynesha Dione
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2018
Last updated Jan 21st, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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