Dr John J Wagner, PHD | |
7664 Slate Ridge Blvd, Reynoldsburg, OH 43068-8158 | |
(614) 863-2399 | |
(614) 863-4040 |
Full Name | Dr John J Wagner |
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Gender | Male |
Speciality | Psychologist |
Location | 7664 Slate Ridge Blvd, Reynoldsburg, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700801487 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 5746 (Ohio) | Primary |
Entity Name | Covenant Psychological And Consulting Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972860070 PECOS PAC ID: 3173755071 Enrollment ID: O20140408000857 |
Mailing Address | Practice Location Address |
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Dr John J Wagner, PHD 7664 Slate Ridge Blvd, Reynoldsburg, OH 43068-8158 Ph: (614) 863-2399 | Dr John J Wagner, PHD 7664 Slate Ridge Blvd, Reynoldsburg, OH 43068-8158 Ph: (614) 863-2399 |
Katelyn Dipasquale, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6699 E Livingston Ave, Reynoldsburg, OH 43068 Phone: 614-501-4064 | |
Dana Doran-myers, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6826 Retton Rd, Reynoldsburg, OH 43068 Phone: 614-367-2160 | |
Dr. Richard Lane Odor, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 7664 Slate Ridge Blvd, Reynoldsburg, OH 43068 Phone: 614-863-4119 Fax: 614-863-4040 | |
Mrs. Jessica Sypert, M.A., PSY.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 340 Waggoner Rd, Reynoldsburg, OH 43068 Phone: 614-501-5610 | |
Kristen Paul, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8200 Taylor Rd Sw, Reynoldsburg, OH 43068 Phone: 614-367-2940 | |
Shirlayann Darcell Martinez, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2105 Commons Rd N, Reynoldsburg, OH 43068 Phone: 614-483-5863 |