Life Dynamics INC
NPI #1932543964 in Prior Lake, Minnesota
Provider Information
- NPI Number
- 1932543964
- Entity Type
- Organization
- Organization Name
- Life Dynamics INC
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Apr 21, 2013
- Last Updated
- Apr 21, 2013
Practice Location
- Address
- 6885 BOUDIN ST NE
- Address 2
- SUITE 100
- City
- Prior Lake
- State
- Minnesota
- ZIP Code
- 55372-1432
- Phone
- (952) 226-2641
Authorized Official
- Name
- CHUCK JORENBY, MA, LP
- Title
- LICENSED PSYCHOLOGIST/OWNER
- Phone
- (952) 226-2641
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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| Melissa Kloss, PSY.D. | |
| DR. Jared S Spencer | |
| DR. Robert Chapman Marshall JR., PSYD, LP | |
| DR. Gillian Tibbetts, PSYD | |
| DR. Ernest Boswell, PH.D. |
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