Provider Demographics
NPI:1487703849
Name:CHING, JUNE W J (PHD)
Entity type:Individual
Prefix:DR
First Name:JUNE
Middle Name:W J
Last Name:CHING
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1833 KALAKAUA AVE
Mailing Address - Street 2:SUITE 800
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96815-1512
Mailing Address - Country:US
Mailing Address - Phone:808-949-9502
Mailing Address - Fax:808-955-7372
Practice Address - Street 1:1833 KALAKAUA AVE
Practice Address - Street 2:SUITE 800
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96815-1512
Practice Address - Country:US
Practice Address - Phone:808-949-9502
Practice Address - Fax:808-955-7372
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI04135103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI0000TCBWSMedicare ID - Type Unspecified