Mary Alston Kerllenevich, Ph.D.

LBN: Mary Alston Kerllenevich, Llc
Mary Alston Kerllenevich, Ph.D. is an health care organization with primary practice located at 1100 S Ponce De Leon Blvd Ste 1 , St Augustine FL 32084-6013. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Mary Alston Kerllenevich, Llc can be contacted via phone (904) 824-7733, or through Kerllenevich, Mary A via phone (904) 824-7733.

Contact Information

Primary practice address
1100 S Ponce De Leon Blvd Ste 1 St Augustine FL 32084-6013
Phone: (904) 824-7733
Fax: (904) 829-9768
Website:
Map and Directions
Authorized official contact:
Name: Kerllenevich, Mary A PH.D.
Phone: (904) 824-7733

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY 7744 Florida

Profile Details

NPI number 1033364971
LBN Legal business name Mary Alston Kerllenevich, Llc
DBA Doing business as Mary Alston Kerllenevich, Ph.D.
Authorized official Kerllenevich, Mary A PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 19th, 2008
Last updated Nov 19th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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