Bonanno, David

Bonanno, David is an individual health care provider with primary practice located at 20 Research Pkwy Suite C, Old Saybrook CT 06475-4214. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bonanno, David can be contacted via phone (800) 370-3651.

Contact Information

Primary practice address
20 Research Pkwy Suite C Old Saybrook CT 06475-4214
Fax: (860) 510-0030
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X CT002860 Connecticut

Profile Details

NPI number 1780843540
LBN Legal business name Bonanno, David
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2008
Last updated Jun 6th, 2008 - about 16 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.

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