Basic Information
| Provider Information | |||||||||
| NPI: | 1356472575 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CAMPION | ||||||||
| FirstName: | BERNADINE | ||||||||
| MiddleName: | MAUREEN | ||||||||
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| Credential: | MS-CCC SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2539 WASHINGTON RD STE 1010 | ||||||||
| Address2: | |||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 152412500 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7249414434 | ||||||||
| FaxNumber: | 7249414714 | ||||||||
| Practice Location | |||||||||
| Address1: | 3240 WASHINGTON RD | ||||||||
| Address2: | |||||||||
| City: | MCMURRAY | ||||||||
| State: | PA | ||||||||
| PostalCode: | 153173180 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7249414434 | ||||||||
| FaxNumber: | 7249414714 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/08/2007 | ||||||||
| LastUpdateDate: | 10/06/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/06/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | SL003077 | PA | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
ID Information
| ID | Type | State | Issuer | Description | 0017726840002 | 05 | PA | MEDICAID |