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Organization
BERG PSYCHIATRY PLLC
Active
Organization
BERG PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JANE BENITO BERG PMHNP-BC (OWNER/PMHNP)
(608) 332-3229
Entity
Organization
Contact information
Practice address
11782 S 51ST DR, LAVEEN, AZ 85339-4514
(608) 332-3229
(602) 584-6594
Mailing address
11782 S 51ST DR, LAVEEN, AZ 85339-4514
(608) 332-3229
(602) 584-6594
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/24/2026
Last updated
06/24/2026
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