Provider Demographics
NPI:1003371311
Name:DAWKINS, MILTON RAY JR (PHD)
Entity Type:Individual
Prefix:DR
First Name:MILTON
Middle Name:RAY
Last Name:DAWKINS
Suffix:JR
Gender:M
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:PSC 475 BOX 1
Mailing Address - Street 2:
Mailing Address - City:FPO
Mailing Address - State:AP
Mailing Address - Zip Code:96350-1200
Mailing Address - Country:US
Mailing Address - Phone:315-243-5171
Mailing Address - Fax:
Practice Address - Street 1:238-0001 KANAGAWA PREFECTURE
Practice Address - Street 2:
Practice Address - City:YOKOSUKA
Practice Address - State:YOKOSUKA, INAOKACHO, 82
Practice Address - Zip Code:2380001
Practice Address - Country:JP
Practice Address - Phone:315-243-5171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810006137103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical