Individual provider · Type 1 NPI

Justin Coulter, PSY.D.

Clinical Psychologist · Maple Grove, MN

NPI number 1992940746 Active

Practice location

7236 Forestview Lane N.
Maple Grove, MN 55369

Fax (763) 416-4137

Mailing address

521 2nd St SE, # 100
Minneapolis, MN 55414-2290

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XLP5543 (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 1992940746

Justin Coulter, PSY.D.'s National Provider Identifier is 1992940746, issued on Dec 9, 2008. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Maple Grove, MN. The record was last updated on Apr 18, 2014.