Provider Demographics
NPI:1972314151
Name:REAL PSYCHOLOGICAL SERVICES
Entity type:Organization
Organization Name:REAL PSYCHOLOGICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PART-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:JANDIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-937-2844
Mailing Address - Street 1:6500 ROLLING HILLS LN E
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43123-9787
Mailing Address - Country:US
Mailing Address - Phone:614-937-2844
Mailing Address - Fax:
Practice Address - Street 1:6500 ROLLING HILLS LN E
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:OH
Practice Address - Zip Code:43123-9787
Practice Address - Country:US
Practice Address - Phone:614-937-2844
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-16
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty