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Organization
MARY LYNETTE BERST
Active
Organization
MARY LYNETTE BERST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BERST (OWNER)
(760) 902-9296
Entity
Organization
Contact information
Practice address
61645 LIVING STONE DR, LA QUINTA, CA 92253-9394
(760) 902-9296
Mailing address
61645 LIVING STONE DR, LA QUINTA, CA 92253-9394
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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