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Organization

CHRISTIAN PSYCHOLOGICAL SERVICES, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JANELLE WARNER ASHBY PSY.D. (PRESIDENT)
(260) 336-3362
Entity
Organization

Contact information

Practice address
245 N. MORTON ST., SECOND FLOOR, SHIPSHEWANA, IN 46565-0414
(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 BC/BS
IN
05
200176640B
IN
Enumeration date
11/06/2006
Last updated
03/16/2009
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