Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary Alston Kerllenevich, LLC

Organization Psychologist · NPI 1033364971

Mary Alston Kerllenevich, LLC is a Psychologist in St Augustine, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1100 S Ponce De Leon Blvd Ste 1
St Augustine, FL 32084-6013
Phone: (904) 824-7733
Fax: (904) 829-9768
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PY 7744 (FL)

Record details

NPI number1033364971
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Kerllenevich — Mgrm · (904) 824-7733
Other names Mary Alston Kerllenevich, Ph.D.
NPI enumeratedNovember 19, 2008
Last updated in NPPESNovember 19, 2008
Mailing address4900 Us Highway 1 N, Suite 400, St Augustine, FL 32095-6271

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