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Dr. Nicole Marie Johnson
Clinical Psychologist in Burnsville, Minnesota
NPI 1750868212

Nicole Marie Johnson is a Clinical Psychologist based in Burnsville, MN and is specialized in Clinical. Nicole Marie Johnson practices in Burnsville, MN. The NPI Number for Nicole Marie Johnson is 1750868212 and holds a License No. LP6452 (Minnesota).

The current practice location address for Nicole Marie Johnson is 200 E Travelers Trl Ste 205, Burnsville, MN and can be reached out via phone at 612-249-0269.

Location: 200 E Travelers Trl Ste 205, Burnsville, MN, 55337-4191
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750868212
Provider Name
Nicole Marie Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
200 E Travelers Trl Ste 205, Burnsville, MN, 55337-4191
Phone Number
612-249-0269
Fax Number
Provider Enumeration Date
07/26/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1750868212 01 MN NPI I
institution
Provider Business Practice Location Address Details
Address
200 E Travelers Trl Ste 205
City
Burnsville
State
Minnesota
Zip
55337-4191
Phone Number
612-249-0269
Fax Number
person
Provider Business Mailing Address Details
Address
200 E Travelers Trl Ste 205
City
Burnsville
State
Minnesota
Zip
55337-4191
Phone Number
612-249-0269
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
LP6452 (Minnesota)
Definition
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 disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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