Individual
DR. JUSTIN KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D
Contact information
Practice address
2530 HORIZON DR, BURNSVILLE, MN 55337-3091
(651) 209-8640
(651) 209-8690
Mailing address
2530 HORIZON DR, BURNSVILLE, MN 55337-3091
(651) 209-8640
(651) 209-8690
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5679
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356779771
—
MN
Enumeration date
10/22/2013
Last updated
10/02/2018
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