Individual provider · Type 1 NPI

Nelly Esther Bonilla Bonilla, PSYD, LP

Psychologist · Jordan, MN

NPI number 1356830210 Active

Practice location

863 Forest Edge Dr
Jordan, MN 55352-4502

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XLP6839 (PR)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1356830210

Nelly Esther Bonilla Bonilla, PSYD, LP's National Provider Identifier is 1356830210, issued on May 7, 2018. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Jordan, MN. The record was last updated on Sep 19, 2024.