Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK O JUSTIC, MA LP
ActiveMARK O JUSTIC, MA LP is a Clinical Psychologist healthcare provider located in EDEN PRAIRIE, Minnesota. NPI 1982700902 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · EDEN PRAIRIE, MN
Registration Details
- NPI Number
- 1982700902
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 16, 2006 (19.876503130712 yrs)
- Last Updated
- Mar 12, 2014
- License
-
LP0329 (MN)
Practice Information
- Address
-
11010 PRAIRIE LAKES DRSUITE 350EDEN PRAIRIE, MN, 553443884Browse MN providers · Browse ZIP 55344
- Phone
- 9527462522
- Fax
- 9527460887
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in EDEN PRAIRIE, MN
| Name | Credential | NPI |
|---|---|---|
| DR. STEPHEN A BONFILIO | PHD | 1265419485 |
| BRENT THOMSON | — | 1568449577 |
| ANN BODENSTEINER | MA LP | 1619077898 |
| MAVIS RICE | MA LP | 1790869121 |
| TAMARA CLEMENT | PH.D., L.P. | 1144392333 |
| DR. DOUGLAS G. FREY | PH.D. | 1649317413 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.