Provider Demographics
NPI:1346363223
Name:MILKE, RAY M (PHD)
Entity Type:Individual
Prefix:DR
First Name:RAY
Middle Name:M
Last Name:MILKE
Suffix:
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 1:600 PEREGRINE DR
Mailing Address - Street 2:
Mailing Address - City:IRWIN
Mailing Address - State:PA
Mailing Address - Zip Code:15642-6316
Mailing Address - Country:US
Mailing Address - Phone:724-861-8824
Mailing Address - Fax:
Practice Address - Street 1:600 PEREGRINE DR
Practice Address - Street 2:
Practice Address - City:IRWIN
Practice Address - State:PA
Practice Address - Zip Code:15642-6316
Practice Address - Country:US
Practice Address - Phone:724-861-8824
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS-002599-L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist