Individual
MR. CHARLES HOWARD JORENBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LP
Contact information
Practice address
6885 BOUDIN ST NE STE 200, PRIOR LAKE, MN 55372-2091
(952) 226-2641
(952) 226-2741
Mailing address
6885 BOUDIN ST NE STE 200, PRIOR LAKE, MN 55372-2091
(952) 226-2641
(952) 226-2741
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP3631
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2128297
CIGNA ID NUMBER
—
01
—
437R7LI
BCBS GROUP NUMBER
—
01
—
437R8JO
BCBS INDIVIDUAL ID NUMBER
—
05
—
509108000
—
MN
01
—
62-39496
UBH ID NUMBER
—
01
—
792566000
MAGELLAN ID NUMBER
—
01
—
LP3631
MINNESOTA BOARD OF PSYCHOLOGY LICENSE NUMBER
MN
Enumeration date
11/17/2005
Last updated
07/23/2019
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