Healthcare Provider Details

I. General information

NPI: 1487703849
Provider Name (Legal Business Name): JUNE W J CHING PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1833 KALAKAUA AVE SUITE 800
HONOLULU HI
96815-1512
US

IV. Provider business mailing address

1833 KALAKAUA AVE SUITE 800
HONOLULU HI
96815-1512
US

V. Phone/Fax

Practice location:
  • Phone: 808-949-9502
  • Fax: 808-955-7372
Mailing address:
  • Phone: 808-949-9502
  • Fax: 808-955-7372

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number04135
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: