Provider Demographics
NPI:1841411600
Name:DUNSTON, CHERYL HEULETTE (PHD)
Entity Type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:HEULETTE
Last Name:DUNSTON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:CHERYL
Other - Middle Name:HEULETTE
Other - Last Name:DUNSTON-MCLEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:5424 GARDENWOOD RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21206
Mailing Address - Country:US
Mailing Address - Phone:410-537-0698
Mailing Address - Fax:410-488-5424
Practice Address - Street 1:5209 YORK RD SUITE 2
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21212
Practice Address - Country:US
Practice Address - Phone:410-537-0698
Practice Address - Fax:410-488-5424
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2017-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD101Y00000X, 101YM0800X, 101YS0200X, 102L00000X, 106H00000X
MDLCA256101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD3421870OtherAETNA PROVIDER NUMBER
MDM500OtherBCBS PROVIDER NUMBER
MD595719-000OtherMAGELLAN PROVIDER NUMBER