Mary Alston Kerllenevich, LLC
NPI #1033364971 in St Augustine, Florida
Provider Information
- NPI Number
- 1033364971
- Entity Type
- Organization
- Organization Name
- Mary Alston Kerllenevich, LLC
- Primary Specialty
- Psychologist
- Enumeration Date
- Nov 19, 2008
- Last Updated
- Nov 19, 2008
Practice Location
- Address
- 1100 S PONCE DE LEON BLVD STE 1
- City
- St Augustine
- State
- Florida
- ZIP Code
- 32084-6013
- Phone
- (904) 824-7733
Authorized Official
- Name
- MARY A KERLLENEVICH, PH.D.
- Title
- MGRM
- Phone
- (904) 824-7733
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
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