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Nelly Bonilla Bonilla, PSYD, LP
NPI 1356830210 · on the registry since 2018
Practice
- Address
- 863 Forest Edge Dr
Jordan, MN 55352 - Phone
- (612) 475-0505
Registry record
- Primary taxonomy
- Psychologist
103T00000X
- Licence states on file
- PR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-09-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota