Provider Demographics
NPI:1326076324
Name:CHRISTIAN THERAPY SERVICES
Entity Type:Organization
Organization Name:CHRISTIAN THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:HARTLEY
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD, DMIN, PHD
Authorized Official - Phone:717-334-7142
Mailing Address - Street 1:490 MARSH CREEK RD
Mailing Address - Street 2:
Mailing Address - City:GETTYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17325-7124
Mailing Address - Country:US
Mailing Address - Phone:717-334-7142
Mailing Address - Fax:717-339-0074
Practice Address - Street 1:490 MARSH CREEK RD
Practice Address - Street 2:
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325-7124
Practice Address - Country:US
Practice Address - Phone:717-334-7142
Practice Address - Fax:717-339-0074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA009121L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA=========Medicare UPIN