Bonadio, Judy Mary
Bonadio, Judy Mary is an sole proprietor health care provider with primary practice located at 1305 Post Rd Suite 206, Fairfield CT 06824-6016. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bonadio, Judy Mary can be contacted via phone (203) 255-0642.Contact Information
Primary practice address
1305 Post Rd Suite 206
Fairfield CT 06824-6016
Phone: (203) 255-0642
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 002484 | Connecticut |
Profile Details
| NPI number | 1710044813 |
|---|---|
| LBN Legal business name | Bonadio, Judy Mary |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 2nd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710044813 | NPPES |
| Connecticut | Other | 002484 | STATE LICENSE NUMBER |
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