Provider Demographics
NPI:1356631071
Name:SOMERMAN, CHANDRA G (MS, LCGC)
Entity Type:Individual
Prefix:MRS
First Name:CHANDRA
Middle Name:G
Last Name:SOMERMAN
Suffix:
Gender:F
Credentials:MS, LCGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:578 WHEATFIELD DR
Mailing Address - Street 2:
Mailing Address - City:LITITZ
Mailing Address - State:PA
Mailing Address - Zip Code:17543-9074
Mailing Address - Country:US
Mailing Address - Phone:717-553-5667
Mailing Address - Fax:717-553-5667
Practice Address - Street 1:500 UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-2360
Practice Address - Country:US
Practice Address - Phone:717-531-0003
Practice Address - Fax:717-531-0822
Is Sole Proprietor?:No
Enumeration Date:2011-04-14
Last Update Date:2014-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE0000007170300000X
PAGC000215170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS