Dr Dynesha Dione Mason-grissom, PHD | |
2500 Galen Dr Ste 104, Champaign, IL 61821-7038 | |
(217) 693-6072 | |
Not Available |
Full Name | Dr Dynesha Dione Mason-grissom |
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Gender | Female |
Speciality | Psychologist |
Location | 2500 Galen Dr Ste 104, Champaign, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1043789688 | NPI | - | NPPES |
Entity Name | Psychology Specialists Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053368605 PECOS PAC ID: 9739152380 Enrollment ID: O20050112000476 |
Mailing Address | Practice Location Address |
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Dr Dynesha Dione Mason-grissom, PHD 2500 Galen Dr Ste 104, Champaign, IL 61821-7038 Ph: (217) 693-6072 | Dr Dynesha Dione Mason-grissom, PHD 2500 Galen Dr Ste 104, Champaign, IL 61821-7038 Ph: (217) 693-6072 |
Rachael D Rubin, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1802 S Mattis Ave, Champaign, IL 61821 Phone: 217-255-9580 Fax: 217-255-9650 | |
Kathryn Leskis, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 301 N Neil St Ste 210, Champaign, IL 61820 Phone: 217-244-4597 | |
Andrea R Klein, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1701 W. Curtis Road, Psychology, Champaign, IL 61822 Phone: 217-365-6206 Fax: 217-326-1234 | |
Holly N Mirell, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1818 E. Windsor Road, Psychiatry/psychology, Champaign, IL 61802 Phone: 217-255-9700 Fax: 217-255-9650 | |
Dr. Michael A Campion, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2110 Clearlake Blvd Ste 202, Champaign, IL 61822 Phone: 217-356-9922 Fax: 217-356-9875 | |
Dr. John P Baker, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1802 S Mattis Ave, Champaign, IL 61821 Phone: 217-365-2855 |