| Christian Psychological Services, P.c. | |
|
245 N. Morton St. Second Floor Shipshewana IN 46565-0414 | |
| (260) 336-3362 | |
| (260) 768-7114 |
| Full Name | Christian Psychological Services, P.c. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 245 N. Morton St., Shipshewana, Indiana |
| Authorized Official Name and Position | Janelle Warner Ashby (PRESIDENT) |
| Authorized Official Contact | 2603363362 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Christian Psychological Services, P.c. Po Box 414 Shipshewana IN 46565-0414 Ph: (260) 336-3362 | Christian Psychological Services, P.c. 245 N. Morton St. Second Floor Shipshewana IN 46565-0414 Ph: (260) 336-3362 |
| NPI Number | 1205915477 |
|---|---|
| Provider Enumeration Date | 11/06/2006 |
| Last Update Date | 03/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205915477 | NPI | - | NPPES |
| 000000388789 | Other | IN | ANTHEM BC/BS |
| 200176640B | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 20041285A (Indiana) | Primary |
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