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Mr. Charles Howard Jorenby, MA,LP
Psychologist in Prior Lake, Minnesota
NPI 1013999671

Charles Howard Jorenby is a Psychologist based in Prior Lake, MN. Charles Howard Jorenby practices in Prior Lake, MN and has the professional credentials of MA,LP. The NPI Number for Charles Howard Jorenby is 1013999671 and holds a License No. LP3631 (Minnesota).

The current practice location address for Charles Howard Jorenby is 6885 Boudin St Ne Ste 200, Prior Lake, MN and can be reached out via phone at 952-226-2641 and via fax at 952-226-2741.

Location: 6885 Boudin St Ne Ste 200, Prior Lake, MN, 55372-2091
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013999671
Provider Name
Charles Howard Jorenby
Credential
MA,LP
Provider Entity Type
Individual
Gender
Male
Address
6885 Boudin St Ne Ste 200, Prior Lake, MN, 55372-2091
Phone Number
952-226-2641
Fax Number
952-226-2741
Provider Enumeration Date
11/17/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
509108000 05 MN
62-39496 01 UBH ID NUMBER
792566000 01 MAGELLAN ID NUMBER
LP3631 01 MN MINNESOTA BOARD OF PSYCHOLOGY LICENSE NUMBER
2128297 01 CIGNA ID NUMBER
437R8JO 01 BCBS INDIVIDUAL ID NUMBER
437R7LI 01 BCBS GROUP NUMBER
institution
Provider Business Practice Location Address Details
Address
6885 Boudin St Ne Ste 200
City
Prior Lake
State
Minnesota
Zip
55372-2091
Phone Number
952-226-2641
Fax Number
952-226-2741
person
Provider Business Mailing Address Details
Address
6885 Boudin St Ne Ste 200
City
Prior Lake
State
Minnesota
Zip
55372-2091
Phone Number
952-226-2641
Fax Number
952-226-2741
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
LP3631 (Minnesota)
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
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