Provider Demographics
NPI:1689395345
Name:DIXON, HAYLEY DREW (PSYD)
Entity Type:Individual
Prefix:DR
First Name:HAYLEY
Middle Name:DREW
Last Name:DIXON
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PSC 851 BOX 340
Mailing Address - Street 2:
Mailing Address - City:FPO
Mailing Address - State:AE
Mailing Address - Zip Code:09834-0004
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1 JUFFAIR AVENUE
Practice Address - Street 2:BANZ WAREHOUSE, BAY 6
Practice Address - City:MANAMA
Practice Address - State:BAHRAIN
Practice Address - Zip Code:09834
Practice Address - Country:BH
Practice Address - Phone:318-439-6110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-09
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810008316103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical