Dr. Jared S Spencer
Dr. Jared S Spencer is a Clinical Psychologist in Prior Lake, Minnesota. Qualified in 2018, 8 years ago. Practices with Lorenz Clinic LLC, a 24-clinician group and accepts Medicare assignment. Licensed in Illinois and Minnesota.
- Years since qualifying
- 8
- Licensed in
- IL, MN
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
16180 Hastings Ave SE Ste 205Prior Lake, MN 55372-9228
Phone: (952) 443-4600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Psychologist (primary) | Taxonomy 103TC0700X · Licence LP6688 (MN) |
|---|---|
| Clinical Psychologist | Taxonomy 103TC0700X · Licence 071.010179 (IL) |
Record details
| NPI number | 1477199636 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 22, 2019 |
| Last updated in NPPES | July 7, 2021 |
| Certification date | July 7, 2021 |
| Mailing address | Po Box 51, Victoria, MN 55386-0051 |
Medicare enrollment
| Medicare specialty | CLINICAL PSYCHOLOGIST |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Group practice | Lorenz Clinic Llc — 24 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Prior Lake
-
Life Dynamics Inc
6885 Boudin St NE Ste 100, Prior Lake, MN 55372-1432 · (952) 226-2641
-
Dr. Robert Chapman Marshall Jr., PSYD, LP
16180 Hastings Ave SE Ste 205, Prior Lake, MN 55372-9228 · (952) 443-4600
-
Dr. Gillian Tibbetts, PSYD
16180 Hastings Ave SE Ste 205, Prior Lake, MN 55372-9228 · (952) 443-4600