Bonaventura, Deanna
Bonaventura, Deanna is an individual health care provider with primary practice located at 352 State St , North Haven CT 06473-3108. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Bonaventura, Deanna can be contacted via phone (203) 781-4600.Contact Information
Primary practice address
352 State St
North Haven CT 06473-3108
Phone: (203) 781-4600
Fax: (203) 498-3820
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 3305 | Connecticut |
Profile Details
NPI number | 1922515196 |
---|---|
LBN Legal business name | Bonaventura, Deanna |
Credentials | Licensed Professional Counselor (LPC) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 9th, 2018 |
Last updated | Feb 14th, 2018 - about 6 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 | 1922515196 | NPPES |
Connecticut | MEDICAID | 008056168 | |
Connecticut | MEDICAID | 008077565 | |
Connecticut | MEDICAID | 004082286 | |
Connecticut | MEDICAID | 008022626 | |
Connecticut | MEDICAID | 500000315 |
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