Individual
JULIA MARVER BONILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
265-16 74TH AVENUE, GLEN OAKS, NY 11004
(718) 470-8052
Mailing address
265-16 74TH AVE, QUEENS, NY 11004
(718) 470-8052
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
025129
NY
Other
Enumeration date
08/25/2022
Last updated
10/08/2025
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