Provider Demographics
NPI:1801820006
Name:ARINCORAYAN, DERRICK FELIPE (PHD)
Entity Type:Individual
Prefix:
First Name:DERRICK
Middle Name:FELIPE
Last Name:ARINCORAYAN
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 1:95-1038 PAHAKU ST
Mailing Address - Street 2:
Mailing Address - City:MILILANI
Mailing Address - State:HI
Mailing Address - Zip Code:96789-5548
Mailing Address - Country:US
Mailing Address - Phone:808-744-5008
Mailing Address - Fax:
Practice Address - Street 1:95-1038 PAHAKU ST
Practice Address - Street 2:
Practice Address - City:MILILANI
Practice Address - State:HI
Practice Address - Zip Code:96789-5548
Practice Address - Country:US
Practice Address - Phone:808-744-5008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2017-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX171621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical