Healthcare Provider Details

I. General information

NPI: 1215025507
Provider Name (Legal Business Name): DAWN MARIE SOKOLSKI PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DAWN MARIE CHISHOLM PHD

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 08/27/2025
Certification Date: 08/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 MDG UNIT 5142
APO AP
96368
US

IV. Provider business mailing address

18MDG UNIT 5268 OPC 80 BOX 5217
APO AP
96367-5217
US

V. Phone/Fax

Practice location:
  • Phone: 315-634-7827
  • Fax:
Mailing address:
  • Phone: 315-634-3272
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY2466
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: