Healthcare Provider Details
I. General information
NPI: 1871253773
Provider Name (Legal Business Name): JUNE W J CHING, PHD, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/20/2021
Last Update Date: 12/20/2021
Certification Date: 12/20/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1833 KALAKAUA AVE STE 206
HONOLULU HI
96815-1500
US
IV. Provider business mailing address
1833 KALAKAUA AVE STE 206
HONOLULU HI
96815-1500
US
V. Phone/Fax
- Phone: 808-955-7372
- Fax: 808-951-9282
- Phone: 808-955-7372
- Fax: 808-951-9282
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103T00000X |
| Taxonomy | Psychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JUNE
W J
CHING
Title or Position: OWNER
Credential: PHD
Phone: 808-258-9502