Individual provider · Type 1 NPI

Dynesha Dione Mason-Grissom, PhD

Psychologist · Champaign, IL

NPI number 1043789688 Active

Practice location

2500 Galen Dr Ste 104
Champaign, IL 61821-7038

Specialties and licenses

TaxonomyCodeLicense
Counseling Psychologist 103TC1900XNone listed
Clinical Child & Adolescent Psychologist 103TC2200XNone listed
Family Psychologist 103TF0000XNone listed
Psychologist Primary 103T00000XNone listed

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1043789688

Dynesha Dione Mason-Grissom, PhD's National Provider Identifier is 1043789688, issued on Nov 13, 2018. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Champaign, IL. The record was last updated on Jan 21, 2020.