Individual
DR. STEVEN BONANNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
241 NEW STATE RD APT F, MANCHESTER, CT 06042-7937
(860) 539-6779
Mailing address
PO BOX 891, SOUTH WINDSOR, CT 06074-0891
(860) 432-1160
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
8741
MA
103TC2200X
Clinical Child & Adolescent Psychologist
002823
CT
Other
Enumeration date
08/14/2007
Last updated
03/17/2008
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