Organization
NEW HOPE PSYCHOLOGY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NELLY BONILLA (DOCTOR)
(612) 512-7144
Entity
Organization
Contact information
Practice address
9 JUDITH DR, CHASKA, MN 55318-1254
(612) 475-0505
Mailing address
863 FOREST EDGE DR, JORDAN, MN 55352-4502
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
11/01/2023
Last updated
09/19/2024
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