Organization · Type 2 NPI

Mary Alston Kerllenevich, LLC

Psychologist · St. Augustine, FL

NPI number 1033364971 Active

Practice location

1100 S Ponce De Leon Blvd Ste 1
St. Augustine, FL 32084-6013

Call (904) 824-7733 Map

Fax (904) 829-9768

Mailing address

4900 US Highway 1 N, Suite 400
St. Augustine, FL 32095-6271

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XPY 7744 (FL)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1033364971

Mary Alston Kerllenevich, LLC's National Provider Identifier is 1033364971, issued on Nov 19, 2008. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in St. Augustine, FL. The record was last updated on Nov 19, 2008.