Organization
COVENANT PSYCHOLOGICAL SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN J WAGNER PH.D (PRESIDENT)
(614) 863-2399
Entity
Organization
Contact information
Practice address
7664 SLATE RIDGE BLVD, REYNOLDSBURG, OH 43068-8158
(614) 863-2399
(614) 863-4040
Mailing address
7664 SLATE RIDGE BLVD, REYNOLDSBURG, OH 43068-8158
(614) 863-2399
(614) 863-4040
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5746
OH
Other
Enumeration date
07/15/2005
Last updated
08/22/2020
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