| Organization Name: | PSYCHOLOGICAL & FAMILY CONSULTANTS |
| NPI Number: | 1013055086 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROSEANN M WOODKA (PSYCHOLOGIST) |
| Mailing Address: | 926 E Jackson Blvd Elkhart |
| State: | IN US |
| Postal Code: | 465164351 |
| Phone Number: | 5745226292 |
| Fax Number: | 5745220481 |
| NPI Enumeration Date: | 02/02/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | 20041649A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |