Provider Demographics
NPI:1437427507
Name:POST, MARY ANN O (MS, CGC)
Entity Type:Individual
Prefix:MS
First Name:MARY ANN
Middle Name:O
Last Name:POST
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3400 BROADWAY
Mailing Address - Street 2:INDIANA UNIVERSITY NORTHWEST
Mailing Address - City:GARY
Mailing Address - State:IN
Mailing Address - Zip Code:46408-1197
Mailing Address - Country:US
Mailing Address - Phone:219-981-4277
Mailing Address - Fax:219-980-6693
Practice Address - Street 1:3400 BROADWAY
Practice Address - Street 2:INDIANA UNIVERSITY NORTHWEST
Practice Address - City:GARY
Practice Address - State:IN
Practice Address - Zip Code:46408-1197
Practice Address - Country:US
Practice Address - Phone:219-981-4277
Practice Address - Fax:219-980-6693
Is Sole Proprietor?:No
Enumeration Date:2011-12-05
Last Update Date:2011-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN99048206A170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS