| Organization Name: | CHRISTIAN PSYCHOLOGICAL SERVICES |
| NPI Number: | 1053655092 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NATASHA SCOLARO (OFFICE MANAGER) |
| Mailing Address: | 94 Old Mill Rd Martinsburg |
| State: | WV US |
| Postal Code: | 254019284 |
| Phone Number: | 3042608808 |
| Fax Number: | 3042638763 |
| NPI Enumeration Date: | 11/15/2012 |
| NPI Last Update Date: | 11/15/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | WV928 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |