| Covenant Psychological Services, Inc | |
| 
					7664 Slate Ridge Blvd Reynoldsburg OH 43068-8158  | |
| (614) 863-2399 | |
| (614) 863-4040 | 
| Full Name | Covenant Psychological Services, Inc | 
|---|---|
| Speciality | Psychologist | 
| Location | 7664 Slate Ridge Blvd, Reynoldsburg, Ohio | 
| Authorized Official Name and Position | John J Wagner (PRESIDENT) | 
| Authorized Official Contact | 6148632399 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Covenant Psychological Services, Inc 7664 Slate Ridge Blvd Reynoldsburg OH 43068-8158 Ph: (614) 863-2399  | Covenant Psychological Services, Inc 7664 Slate Ridge Blvd Reynoldsburg OH 43068-8158 Ph: (614) 863-2399  | 
| NPI Number | 1417956038 | 
|---|---|
| Provider Enumeration Date | 07/15/2005 | 
| Last Update Date | 08/22/2020 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1417956038 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 103T00000X | Psychologist | 5746 (Ohio) | Primary | 
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