Provider Demographics
NPI:1134232713
Name:ARQUILLA, DONALD ANTHONY (PH D)
Entity type:Individual
Prefix:MR
First Name:DONALD
Middle Name:ANTHONY
Last Name:ARQUILLA
Suffix:
Gender:M
Credentials:PH D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:484 DOUGLASS STREET
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94114-2761
Mailing Address - Country:US
Mailing Address - Phone:415-647-8246
Mailing Address - Fax:
Practice Address - Street 1:4326 18TH STREET
Practice Address - Street 2:SUITE A
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94114-2427
Practice Address - Country:US
Practice Address - Phone:415-648-2815
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY12857103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist