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Mark O Justic, MALP
Clinical Psychologist in Eden Prairie, Minnesota
NPI 1982700902

Mark O Justic is a Clinical Psychologist based in New Brighton, MN and is specialized in Clinical. Mark O Justic practices in Eden Prairie, MN and has the professional credentials of MALP. The NPI Number for Mark O Justic is 1982700902 and holds a License No. LP0329 (Minnesota).

The current practice location address for Mark O Justic is 11010 Prairie Lakes Dr, Eden Prairie, MN and can be reached out via phone at 952-746-2522 and via fax at 952-746-0887. You can also correspond with Mark O Justic through the mailing address at 1900 SILVER LAKE RD NW, NEW BRIGHTON, MN - 55112-1786 (mailing address contact number: 651-379-1718).

Location: 11010 Prairie Lakes Dr, Eden Prairie, MN, 55112-1786
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982700902
Provider Name
Mark O Justic
Credential
MALP
Provider Entity Type
Individual
Gender
Male
Address
11010 Prairie Lakes Dr, Eden Prairie, MN, 55112-1786
Phone Number
952-746-2522
Fax Number
952-746-0887
Provider Enumeration Date
09/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
818549200 05 MN
institution
Provider Business Practice Location Address Details
Address
11010 Prairie Lakes Dr
City
Eden Prairie
State
Minnesota
Zip
55344-3884
Phone Number
952-746-2522
Fax Number
952-746-0887
person
Provider Business Mailing Address Details
Address
11010 Prairie Lakes Dr
City
Eden Prairie
State
Minnesota
Zip
55344-3884
Phone Number
952-746-2522
Fax Number
952-746-0887
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
LP0329 (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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