| Doctor Name: | MS. BONITA MARIE ROY |
| NPI Number: | 1265725055 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW |
| License Number: | 1023009 |
| Business Practice Address: | 9149 Estate Thomas Paragon Medical Bldg Suite 209a St. Thomas, VI - 00802 |
| Business Phone Number: | 3407742228 |
| Business Fax Number: | 3407148159 |
| Mailing Address: | 9149 Estate Thomas, Paragon Medical Bldg Suite 209 A ST THOMAS |
| State: | VI |
| Postal Code: | 008020322 |
| Phone Number: | 3407742228 |
| Fax Number: | 3407148159 |
| NPI Enumeration Date: | 05/26/2011 |
| NPI Last Update Date: | 05/26/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 1023009 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |