Provider Demographics
NPI:1194693564
Name:MUNGER, CHELSEA MAY (MS, CGC)
Entity type:Individual
Prefix:MS
First Name:CHELSEA
Middle Name:MAY
Last Name:MUNGER
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7321 WEST RD
Mailing Address - Street 2:
Mailing Address - City:LOWVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13367-2868
Mailing Address - Country:US
Mailing Address - Phone:315-771-9598
Mailing Address - Fax:
Practice Address - Street 1:124 FRONT ST
Practice Address - Street 2:
Practice Address - City:BINGHAMTON
Practice Address - State:NY
Practice Address - Zip Code:13905-3102
Practice Address - Country:US
Practice Address - Phone:607-724-4308
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-28
Last Update Date:2025-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
23196170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS