Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark O Justic, MALP

Individual provider Clinical Psychologist · NPI 1982700902

Mark O Justic, MALP is a Clinical Psychologist in Eden Prairie, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006

Practice location Address checks out

11010 Prairie Lakes Dr Ste 350
Eden Prairie, MN 55344-3884
Phone: (952) 746-2522
Fax: (952) 746-0887
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence LP0329 (MN)

Record details

NPI number1982700902
Entity typeIndividual (Type 1)
GenderMale
Credentials MALP
Sole proprietorNo
NPI enumeratedSeptember 16, 2006
Last updated in NPPESMarch 12, 2014
Mailing address1900 Silver Lake Rd Nw, 110, New Brighton, MN 55112-1786

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