| Mary Lynette Berst | |
|
61645 Living Stone Dr La Quinta CA 92253-9394 | |
| (760) 902-9296 | |
| Not Available |
| Full Name | Mary Lynette Berst |
|---|---|
| Speciality | Psychologist |
| Location | 61645 Living Stone Dr, La Quinta, California |
| Authorized Official Name and Position | Mary Berst (OWNER) |
| Authorized Official Contact | 7609029296 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Lynette Berst 61645 Living Stone Dr La Quinta CA 92253-9394 | Mary Lynette Berst 61645 Living Stone Dr La Quinta CA 92253-9394 Ph: (760) 902-9296 |
| NPI Number | 1457030546 |
|---|---|
| Provider Enumeration Date | 07/14/2023 |
| Last Update Date | 07/14/2023 |
| Certification Date | 07/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457030546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | () | Primary |
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