DR. MARY KERLLENEVICH, PH.D.

Psychologist

Active Individual
NPI: 1386713048

Practice Address

1100 S PONCE DE LEON BLVD STE 1
St Augustine, FL 32084

Phone: (904) 824-7733

Specialties

Specialty Code Primary License
Psychologist 103T00000X Yes PY7744 (FL)
Psychologist - Clinical 103TC0700X No PY7744 (FL)

Frequently Asked Questions

NPI 1386713048 is the National Provider Identifier for DR. MARY KERLLENEVICH, PH.D., a Psychologist provider located in St Augustine, FL. This NPI was enumerated on November 7, 2006.
DR. MARY KERLLENEVICH, PH.D. practices at 1100 S PONCE DE LEON BLVD STE 1, St Augustine, FL 32084.

Quick Facts

NPI
1386713048
Type
Individual
Enumerated
Nov 7, 2006
Last Updated
Aug 12, 2008

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