Provider Demographics
NPI:1043009558
Name:HIGASHI, DORIAN
Entity type:Individual
Prefix:
First Name:DORIAN
Middle Name:
Last Name:HIGASHI
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:922 KAHIKOLU PL
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96818-2110
Mailing Address - Country:US
Mailing Address - Phone:808-953-7338
Mailing Address - Fax:
Practice Address - Street 1:2444 DOLE ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96822-2399
Practice Address - Country:US
Practice Address - Phone:808-953-7338
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool