Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Jessica Lorena Bonilla

Individual provider Speech-Language Pathologist · NPI 1043613516

MS. Jessica Lorena Bonilla is a Speech-Language Pathologist in Smithtown, New York. Practices as a sole proprietor and works from 2 locations. Licensed in Maryland.

Licensed in
MD
In the registry since
2014
Specialties on file
2

Practice location Address checks out

156 Landing Meadow Rd
Smithtown, NY 11787-1100
Phone: (631) 626-6377
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4922 Lasalle Rd, Hyattsville, MD 20782-3302 — (301) 864-2333

Specialties & licences

Health & Wellness Coach (primary) Taxonomy 171400000X
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 07643 (MD)

Record details

NPI number1043613516
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 29, 2014
Last updated in NPPESMay 5, 2021
Certification dateMay 5, 2021

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