Mark Bonaventura, LCSW

NPI 1326423500 · on the registry since 2015 · sole proprietor

Practice

Address: 64 Robbins St
Behavioral Health- 2nd Floor
Waterbury, CT 06708
Phone: (203) 573-6103
Organisation at this address: Nems W Llc
Waterbury Hospital
Prospect Waterbury, Inc.
Maple Emergency Physicians, Llc
Waterbury Health Operations Corp.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 193

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: CT
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2015-07-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut