| Doctor Name: | DR. MICHAEL A CAMPION |
| NPI Number: | 1043440290 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD |
| License Number: | 071001608 |
| Business Practice Address: | 2110 Clearlake Blvd Ste 202 Champaign, IL - 618228933 |
| Business Phone Number: | 2173569922 |
| Business Fax Number: | 2173569875 |
| Mailing Address: | 2110 Clearlake Blvd Ste 202, CHAMPAIGN |
| State: | IL |
| Postal Code: | 618228933 |
| Phone Number: | 2173569922 |
| Fax Number: | 2173569875 |
| NPI Enumeration Date: | 07/22/2009 |
| NPI Last Update Date: | 07/22/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TB0200X |
| License Number: | 071001608 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Cognitive & Behavioral |
| Taxonomy Definition: | |