Coulter, Justin
Coulter, Justin is an sole proprietor health care provider with primary practice located at 7236 Forestview Lane N. , Maple Grove MN 55369. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Coulter, Justin can be contacted via phone (763) 416-4167.Contact Information
Primary practice address
7236 Forestview Lane N.
Maple Grove MN 55369
Phone: (763) 416-4167
Fax: (763) 416-4137
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | LP5543 | Minnesota |
Profile Details
| NPI number | 1992940746 |
|---|---|
| LBN Legal business name | Coulter, Justin |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 9th, 2008 |
| Last updated | Apr 18th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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