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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MARY ALSTON KERLLENEVICH, PH.D.

Active Sole Proprietor

DR. MARY ALSTON KERLLENEVICH, PH.D. is a Psychologist healthcare provider located in ST AUGUSTINE, Florida. NPI 1386713048 is currently active in the NPPES registry. Verify at CMS.

Psychologist · ST AUGUSTINE, FL

Registration Details

NPI Number
1386713048
Provider Type
Individual
Gender
Female
NPI Issued
Nov 7, 2006 (19.727601448777 yrs)
Last Updated
Aug 12, 2008
Licenses
PY7744 (FL)
PY7744 (FL)
Sole Proprietor
Yes

Practice Information

Address
1100 S PONCE DE LEON BLVD STE 1
ST AUGUSTINE, FL, 320846013
Browse FL providers · Browse ZIP 32084
Phone
9048247733
Fax
9048299768
Primary Specialty
Psychologist
103T00000X
Additional Specialty
Clinical Psychologist

Other Psychologist Providers in ST AUGUSTINE, FL

Name Credential NPI
DR. S GRAHAM KOSCH PHD 1528086329
MRS. MAVIS BENNETT PSYCHOLOGIST 1003999608
DR. PAUL L. MARTIN JR. PH.D. 1548380686
DR. KENNETH DILLON ROBERTSON PH.D. 1609070069
DR. LOUIS R. FRANZINI PH.D. 1811128622
DR. NAKISHA MARIE CARRASQUILLO-RICHARDSON L. P. 1407390529
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.