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Individual

DR. JANELLE WARNER ASHBY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
245 N. MORTON, SHIPSHEWANA, IN 46565
(260) 336-3362
(260) 768-7114
Mailing address
PO BOX 414, SHIPSHEWANA, IN 46565-0414
(260) 336-3362
(260) 768-7114

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20041285A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000388789
ANTHEM
IN
05
200176640B
IN
Enumeration date
11/15/2005
Last updated
03/19/2009
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