| Mr Charles Howard Jorenby, MA, LP | |
|
6885 Boudin St Ne Ste 200, Prior Lake, MN 55372-2091 | |
| (952) 226-2641 | |
| (952) 226-2741 |
| Full Name | Mr Charles Howard Jorenby |
|---|---|
| Gender | Male |
| Speciality | Psychologist |
| Location | 6885 Boudin St Ne Ste 200, Prior Lake, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013999671 | NPI | - | NPPES |
| 509108000 | Medicaid | MN | |
| 62-39496 | Other | UBH ID NUMBER | |
| 792566000 | Other | MAGELLAN ID NUMBER | |
| LP3631 | Other | MN | MINNESOTA BOARD OF PSYCHOLOGY LICENSE NUMBER |
| 2128297 | Other | CIGNA ID NUMBER | |
| 437R8JO | Other | BCBS INDIVIDUAL ID NUMBER | |
| 437R7LI | Other | BCBS GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | LP3631 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Charles Howard Jorenby, MA, LP 6885 Boudin St Ne Ste 200, Prior Lake, MN 55372-2091 Ph: (952) 226-2641 | Mr Charles Howard Jorenby, MA, LP 6885 Boudin St Ne Ste 200, Prior Lake, MN 55372-2091 Ph: (952) 226-2641 |
Ia Xiong X Toyed, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 16180 Hastings Ave Se Ste 205, Prior Lake, MN 55372 Phone: 952-443-4600 | |
Dr. Brian Richard Brewer, PHD, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2330 Sioux Trl Nw, Prior Lake, MN 55372 Phone: 952-496-6167 Fax: 952-233-4255 | |
Dr. Jared S Spencer, Psychologist Medicare: Medicare Enrolled Practice Location: 16180 Hastings Ave Se Ste 205, Prior Lake, MN 55372 Phone: 952-443-4600 | |
Dr. Robert Chapman Marshall Jr., PSYD, LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 16180 Hastings Ave Se Ste 205, Prior Lake, MN 55372 Phone: 952-443-4600 Fax: 952-443-4604 | |
Dr. Gillian Tibbetts, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 16180 Hastings Ave Se Ste 205, Prior Lake, MN 55372 Phone: 952-443-4600 |