| Organization Name: | CHRISTIAN PSYCHOLOGICAL SERVICES, P.C. |
| NPI Number: | 1205915477 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JANELLE WARNER ASHBY (PRESIDENT) |
| Mailing Address: | 245 N. Morton St. Second Floor Shipshewana |
| State: | IN US |
| Postal Code: | 465650414 |
| Phone Number: | 2603363362 |
| Fax Number: | 2607687114 |
| NPI Enumeration Date: | 11/06/2006 |
| NPI Last Update Date: | 03/16/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 20041285A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |