Provider Demographics
NPI:1922194463
Name:DULANY, CHERIE SPENCE (MS/LPE)
Entity Type:Individual
Prefix:MRS
First Name:CHERIE
Middle Name:SPENCE
Last Name:DULANY
Suffix:
Gender:F
Credentials:MS/LPE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 SOUTH SHACKLEFORD ROAD
Mailing Address - Street 2:STE 217
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211
Mailing Address - Country:US
Mailing Address - Phone:501-221-1843
Mailing Address - Fax:501-221-2376
Practice Address - Street 1:109 NORTH HAZEN AVENUE
Practice Address - Street 2:
Practice Address - City:HAZEN
Practice Address - State:AR
Practice Address - Zip Code:72064
Practice Address - Country:US
Practice Address - Phone:870-255-3527
Practice Address - Fax:870-255-3528
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
98-3E103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist