Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennifer Bonilla, MS, CF-SLP

Individual provider Speech-Language Pathologist · NPI 1568195956

Jennifer Bonilla, MS, CF-SLP is a Speech-Language Pathologist in Deer Park, New York. Works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

1014 Grand Blvd Ste 5
Deer Park, NY 11729-5782
Phone: (631) 243-1765
Fax: (631) 243-3716
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 299 Hallock Ave, Port Jefferson Station, NY 11776-1217 — (631) 473-4284

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1568195956
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CF-SLP
Sole proprietorNo
NPI enumeratedJuly 5, 2022
Last updated in NPPESAugust 2, 2022
Certification dateAugust 2, 2022

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