Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mary Alston Kerllenevich, PHD

Individual provider Psychologist · NPI 1386713048

Dr. Mary Alston Kerllenevich, PHD is a Psychologist in St Augustine, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2006
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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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 PY7744 (FL)
Clinical Psychologist Taxonomy 103TC0700X · Licence PY7744 (FL)

Record details

NPI number1386713048
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedNovember 7, 2006
Last updated in NPPESAugust 12, 2008

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