MEDICARE: MEGHAN O'MALLLEY DUNNE MS, LCGC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	170300000X	Genetic Counselor (M.S.)

General Provider Information

NPI Number	:	1629231345
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGHAN O'MALLLEY DUNNE MS, LCGC

Provider Business Mailing Address
First Line	:	3700 CALIFORNIA ST
Second Line	:	RM 4360
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94118-1618
Country	:	US
Telephone Number	:	415-600-2343
Fax Number	:	415-600-2306

Provider Business Practice Location Address
First Line	:	1720 EL CAMINO REAL STE 130
Second Line	:
City	:	BURLINGAME
State	:	CA
Zip	:	94010-3226
Country	:	US
Telephone Number	:	650-652-8237
Fax Number	:	650-697-7259

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/02/2008
Last Update Date	:	09/12/2019

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