Individual
DR. JOHN VINCENT AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3048 FULTON CIR, CLEARWATER, MN 55320-1306
(651) 276-9490
(320) 558-4066
Mailing address
PO BOX 244, CLEARWATER, MN 55320-0244
(651) 276-9490
(320) 558-4066
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP2614
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
568847700
—
MN
Enumeration date
10/28/2006
Last updated
07/06/2015
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