Search › Maryland › 103T00000X
Xavier Bonilla, PHD
NPI 1922384999 · on the registry since 2011
Practice
- Address
- 4 W Main St
New Market, MD 21774 - Phone
- (301) 381-4586
- Fax
- (240) 563-0460
- Organisation at this address
- Green Valley Therapy, L.L.C.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 11
Additional practice sites
- 9 Saint Paul St, Boonsboro, MD
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Also registered as
- 101YM0800X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-04
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 Maryland