BENJAMIN BERTHOLD

TAYLORSVILLE, UT
NPI1235741679
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: UT  14241564-4405)
Additional Taxonomies363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AZ  286456)
Enumeration Date2020-08-18
Last Update Date2025-10-01
Business Address
BENJAMIN BERTHOLD PMHNP
5770 S 1500 W
TAYLORSVILLE, UT 84123-5216
Phone number: 385-478-2400
Mailing Address
BENJAMIN BERTHOLD PMHNP
5770 S 1500 W
TAYLORSVILLE, UT 84123-5216
Phone number: