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Jeffry R Penwarden, PHD,LP
Clinical Psychologist in Forest Lake, Minnesota
NPI 1871544478

Jeffry R Penwarden is a Clinical Psychologist based in Minneapolis, MN and is specialized in Clinical. Jeffry R Penwarden practices in Forest Lake, MN and has the professional credentials of PHD,LP. The NPI Number for Jeffry R Penwarden is 1871544478 and holds a License No. LP2545 (Minnesota).

The current practice location address for Jeffry R Penwarden is 1540 Lake St S, Forest Lake, MN and can be reached out via phone at 651-464-7100 and via fax at 651-982-5515.

Location: 1540 Lake St S, Forest Lake, MN, 55407-1321
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871544478
Provider Name
Jeffry R Penwarden
Credential
PHD,LP
Provider Entity Type
Individual
Gender
Male
Address
1540 Lake St S, Forest Lake, MN, 55407-1321
Phone Number
651-464-7100
Fax Number
651-982-5515
Provider Enumeration Date
05/16/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1540 Lake St S
City
Forest Lake
State
Minnesota
Zip
55025-2628
Phone Number
651-464-7100
Fax Number
651-982-5515
person
Provider Business Mailing Address Details
Address
1540 Lake St S
City
Forest Lake
State
Minnesota
Zip
55025-2628
Phone Number
651-464-7100
Fax Number
651-982-5515
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
LP2545 (Minnesota)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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