Provider Demographics
NPI:1598752537
Name:CAMPION, MARYANN WHALEN (EDD, MS, CGC)
Entity Type:Individual
Prefix:MRS
First Name:MARYANN
Middle Name:WHALEN
Last Name:CAMPION
Suffix:
Gender:F
Credentials:EDD, MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 PASTEUR DR # H-315
Mailing Address - Street 2:
Mailing Address - City:STANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:94305-2200
Mailing Address - Country:US
Mailing Address - Phone:617-947-6438
Mailing Address - Fax:
Practice Address - Street 1:300 PASTEUR DR # H-315
Practice Address - Street 2:
Practice Address - City:STANFORD
Practice Address - State:CA
Practice Address - Zip Code:94305-2200
Practice Address - Country:US
Practice Address - Phone:617-947-6438
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-04
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS