| Ymg Psychological Services, Pllc | |
|
701 Devonshire Dr. Bld. C Suite 132 Champaign IL 61820 | |
| (217) 278-0159 | |
| Not Available |
| Full Name | Ymg Psychological Services, Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 701 Devonshire Dr. Bld. C Suite 132, Champaign, Illinois |
| Authorized Official Name and Position | Dynesha D Mason Grissom (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 2172780159 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ymg Psychological Services, Pllc 306 W Graham Dr Savoy IL 61874-9441 Ph: (217) 278-0159 | Ymg Psychological Services, Pllc 701 Devonshire Dr. Bld. C Suite 132 Champaign IL 61820 Ph: (217) 278-0159 |
| NPI Number | 1629787239 |
|---|---|
| Provider Enumeration Date | 11/22/2022 |
| Last Update Date | 11/22/2022 |
| Certification Date | 11/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629787239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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