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.

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Contact Information

LIFE DYNAMICS INC

6885 BOUDIN ST NE
SUITE 100
PRIOR LAKE, MN 55372-1432

Phone: 952-226-2641
Fax: 952-226-2641
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Clinical	103TC0700X	62	Psychologist, Clinical

Indicates primary specialty

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NPI Profile & details for LIFE DYNAMICS INC

NPI # 1932543964

LBN Legal business name LIFE DYNAMICS INC

Authorized official CHUCK JORENBY - (LICENSED PSYCHOLOGIST/OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/21/2013

Last updated 04/21/2013 - About 13 years ago

Identifiers

License #

LP3631

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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