Individual
CALEB JAMES BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
3905 BOTANICAL AVE APT B, SAINT LOUIS, MO 63110-4054
(618) 623-6661
Mailing address
3905 BOTANICAL AVE APT B, SAINT LOUIS, MO 63110-4054
(618) 623-6661
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2023033096
MO
Other
Enumeration date
07/07/2023
Last updated
07/07/2023
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