NPI 1093907917

Steven Bonanno, PSYD

Practitioner Clinical Psychologist Manchester, CT

Practice location

Address: 241 New State Rd APT F, Manchester, CT 06042-7937
Phone: (860) 539-6779
Mailing address: PO Box 891, South Windsor, CT 06074-0891

Registered specialties (2)

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 8741 (MA)

Other Psychologist providers in Connecticut →

Clinical Child & Adolescent Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TC2200X Licence 002823 (CT)

Registry record

NPI: 1093907917
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Aug 2007
Record last updated: 17 Mar 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.