Provider Demographics
NPI:1073677522
Name:DUNKERLEY, GLORIOUS KERINE (PHD)
Entity Type:Individual
Prefix:DR
First Name:GLORIOUS
Middle Name:KERINE
Last Name:DUNKERLEY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10941 FRANCIS LEWIS BLVD
Mailing Address - Street 2:
Mailing Address - City:QUEENS VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11429-1403
Mailing Address - Country:US
Mailing Address - Phone:516-984-2706
Mailing Address - Fax:516-825-4271
Practice Address - Street 1:10941 FRANCIS LEWIS BLVD
Practice Address - Street 2:
Practice Address - City:QUEENS VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11429-1403
Practice Address - Country:US
Practice Address - Phone:516-984-2706
Practice Address - Fax:516-825-4271
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2018-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014564103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical