Individual
BENJAMIN J BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD LP
Contact information
Practice address
7920 OLD CEDAR AVE S, BLOOMINGTON, MN 55425-1207
(524) 281-8009
(952) 428-1723
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-4400
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
Primary
LP6708
MN
Other
Enumeration date
07/16/2015
Last updated
01/13/2022
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