MR. Charles Howard Jorenby, MA, LP
NPI #1013999671 in Prior Lake, Minnesota
Provider Information
- NPI Number
- 1013999671
- Entity Type
- Individual
- Name
- MR. Charles Howard Jorenby, MA, LP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist
- Credential
- MA, LP
- Enumeration Date
- Nov 17, 2005
- Last Updated
- Jul 23, 2019
Practice Location
- Address
- 6885 BOUDIN ST NE STE 200
- City
- Prior Lake
- State
- Minnesota
- ZIP Code
- 55372-2091
- Phone
- (952) 226-2641
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
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