National Provider Identifier Database

LIFE DYNAMICS INC
Clinical

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.


Contact Information

LIFE DYNAMICS INC
6885 BOUDIN ST NE
SUITE 100
PRIOR LAKE, MN55372-1432
Phone: 952-226-2641
Fax: 952-226-2641
Website:
Specialty Taxonomy Code
* Clinical 103TC0700X

* Indicates primary specialty

NPI Profile & details for LIFE DYNAMICS INC

NPI Number 1932543964
Legal business name
LBN
LIFE DYNAMICS INC
Authorized official CHUCK JORENBY - (LICENSED PSYCHOLOGIST/OWNER)
Entity Organization
Organization subpart No
Enumeration date 04/21/2013
Last updated 04/21/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: LP3631

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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