Individual
PHYLLIS R PEARLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CGC
Contact information
Practice address
5730 TELEGRAPH AVE STE 117, OAKLAND, CA 94609-1710
(510) 570-3515
(415) 369-1391
Mailing address
4367 EDGEWOOD AVE, OAKLAND, CA 94602-1315
(510) 919-2451
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
GC000103
CA
170300000X
Genetic Counselor (M.S.)
—
—
Other
Enumeration date
01/06/2006
Last updated
08/21/2020
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