Bonanomi, Theresa M.

Bonanomi, Theresa M. is an individual health care provider with primary practice located at 365 Montauk Ave , New London CT 06320-4700. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Nursing Service Related Providers / Adult Companion. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Bonanomi, Theresa M. can be contacted via phone (860) 444-5141.

Contact Information

Primary practice address
365 Montauk Ave New London CT 06320-4700
Phone: (860) 444-5141
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 1041C0700X L10625 Oregon
Nursing Service Related Providers / Adult Companion 372600000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 012927 Connecticut

Profile Details

NPI number 1003365222
LBN Legal business name Bonanomi, Theresa M.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2016
Last updated May 16th, 2023 - about last year

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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