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Individual
BENJAMIN BERTHOLD
Active
Individual
BENJAMIN BERTHOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
14241564-4405
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
14241564-4405
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
286456
AZ
Other
Enumeration date
08/18/2020
Last updated
05/01/2026
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