Individual provider · Type 1 NPI

Nicole Marie Johnson

Clinical Psychologist · Burnsville, MN

NPI number 1750868212 Active

Practice location

200 E Travelers Trl Ste 205
Burnsville, MN 55337-4191

Other practice locations

  • 4660 Slater Rd Ste 210, Eagan, MN 55122 · (612) 540-5108

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XLP6452 (MN)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1750868212

Nicole Marie Johnson's National Provider Identifier is 1750868212, issued on Jul 26, 2018. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Burnsville, MN. The record was last updated on Sep 11, 2020.