Bonaventura, Kaelyn
Bonaventura, Kaelyn is an sole proprietor health care provider with primary practice located at 120 Old Coach Ln , Stratford CT 06614-1626. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Bonaventura, Kaelyn can be contacted via phone (203) 522-0646.Contact Information
Primary practice address
120 Old Coach Ln
Stratford CT 06614-1626
Phone: (203) 522-0646
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 4853 | Connecticut |
Profile Details
| NPI number | 1205610599 |
|---|---|
| LBN Legal business name | Bonaventura, Kaelyn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 21st, 2023 |
| Last updated | Aug 21st, 2023 - about 3 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.
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