Individual provider · Type 1 NPI

Mark O. Justic, MA LP

Clinical Psychologist · Eden Prairie, MN

NPI number 1982700902 Active

Practice location

11010 Prairie Lakes Dr, Suite 350
Eden Prairie, MN 55344-3884

Call (952) 746-2522 Map

Fax (952) 746-0887

Mailing address

1900 Silver Lake Rd NW, 110
New Brighton, MN 55112-1786

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XLP0329 (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 1982700902

Mark O. Justic, MA LP's National Provider Identifier is 1982700902, issued on Sep 16, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Eden Prairie, MN. The record was last updated on Mar 12, 2014.