Provider Demographics
NPI: | 1871253773 |
---|---|
Name: | JUNE W J CHING, PHD, LLC |
Entity Type: | Organization |
Organization Name: | JUNE W J CHING, PHD, LLC |
Other - Org Name: | INDEPENDENT PRACTICE |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | JUNE |
Authorized Official - Middle Name: | W J |
Authorized Official - Last Name: | CHING |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | PHD |
Authorized Official - Phone: | 808-258-9502 |
Mailing Address - Street 1: | 1833 KALAKAUA AVE STE 206 |
Mailing Address - Street 2: | |
Mailing Address - City: | HONOLULU |
Mailing Address - State: | HI |
Mailing Address - Zip Code: | 96815-1500 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 808-955-7372 |
Mailing Address - Fax: | 808-951-9282 |
Practice Address - Street 1: | 1833 KALAKAUA AVE STE 206 |
Practice Address - Street 2: | |
Practice Address - City: | HONOLULU |
Practice Address - State: | HI |
Practice Address - Zip Code: | 96815-1500 |
Practice Address - Country: | US |
Practice Address - Phone: | 808-955-7372 |
Practice Address - Fax: | 808-951-9282 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2021-12-20 |
Last Update Date: | 2021-12-20 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | Group - Single Specialty |