| Mark O Justic, MA LP | |
|
11010 Prairie Lakes Dr, Suite 350, Eden Prairie, MN 55344-3884 | |
| (952) 746-2522 | |
| (952) 746-0887 |
| Full Name | Mark O Justic |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 11010 Prairie Lakes Dr, Eden Prairie, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982700902 | NPI | - | NPPES |
| 818549200 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | LP0329 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mark O Justic, MA LP 1900 Silver Lake Rd Nw, 110, New Brighton, MN 55112-1786 Ph: (651) 379-1718 | Mark O Justic, MA LP 11010 Prairie Lakes Dr, Suite 350, Eden Prairie, MN 55344-3884 Ph: (952) 746-2522 |
Dr. Nicole Marie Fleming, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 9637 Anderson Lakes Pkwy # 162, Eden Prairie, MN 55344 Phone: 952-944-5502 | |
Robyn Marie Johnson, PSYD, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12100 Singletree Ln, Suite 142, Eden Prairie, MN 55344 Phone: 612-747-6139 Fax: 952-746-1201 | |
Ms. Katherine Teresa Johnson, M.A., L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8897 Aztec Drive, Eden Prairie, MN 55344 Phone: 612-373-0760 | |
Dr. Megan Kolman, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11000 Optum Cir, Eden Prairie, MN 55344 Phone: 617-323-0542 | |
Stephen Olsen, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11455 Viking Dr, Suite 300, Eden Prairie, MN 55344 Phone: 952-993-2498 | |
Ms. Sharon E. Kanters, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8897 Aztec Dr, Eden Prairie, MN 55347 Phone: 952-944-1876 Fax: 952-942-5726 | |
Jennifer L Wilson, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 11010 Prairie Lakes Dr Ste 350, Eden Prairie, MN 55344 Phone: 952-746-2522 |