Dr. Steven Bonanno
Clinical Psychologist Clinical Child & Adolescent Psychologist
241 New State Rd Apt F
Manchester
, Connecticut 06042-7937
Dr. Steven Bonanno
Clinical Psychologist Clinical Child & Adolescent Psychologist
241 New State Rd Apt F
Manchester
, Connecticut 06042-7937
(860) 432-1160
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About
Features
Specialties
- Clinical Psychologist
- Clinical Child & Adolescent Psychologist
Languages spoken
- English
Location
First Address
- Dr. Steven Bonanno
- Po Box 891
- South Windsor, CT
- Zip : 06074-0891
- Phone : (860) 432-1160
Second Address
- Dr. Steven Bonanno
- 241 New State Rd Apt F
- Manchester, CT
- Zip : 06042-7937
- Phone : (860) 539-6779
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | 8741 | MA |
| Y | 103TC0700X | Clinical Psychologist | 8741 | MA |
| N | 103TC2200X | Clinical Child & Adolescent Psychologist | 002823 | CT |
National Provider Identifier
| NPI | 1093907917 |
|---|---|
| Provider Name | Dr. Steven Bonanno |
| First Address | South Windsor, CT 06074-0891 |
| Second Address | Manchester, CT 06042-7937 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/08/2007 |
| Last Update Date | 17/03/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.