Steven Bonanno PSY.D.

NPI 1093907917 - Psychologist - 103TC2200X

NPI Details
NPI 1093907917
Gender Male
Enumeration Date 08/14/2007
Last Updated 03/17/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
241 NEW STATE RD APT F
MANCHESTER CT, 06042-7937, US
Phone (860) 539-6779
Fax
Business Location
PO BOX 891
SOUTH WINDSOR CT, 06074-0891, US
Phone (860) 432-1160
Fax
Toxanomy
Taxonomy Code 103TC2200X
License State Connecticut
License Number 002823
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According to our database, Dr. Steven Bonanno PSY.D. NPI is 1093907917, taxonomy code is 103TC2200X and license number is 002823, license state is located at Connecticut. Steven Bonanno PSY.D. physically located at 241 New State Rd Apt F, Manchester CT, 06042-7937. NPI Number Steven Bonanno PSY.D. has the Individual type.

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1093907917 NPI number is provided on an as is basis without warranty of any kind. 1093907917 is maintained by the National Plan & Provider Enumeration System. The contents of Steven Bonanno PSY.D. are for informational purposes only.