Megan Bonaventura

NPI #1104585173 in Broadway, Virginia

Provider Information

NPI Number: 1104585173
Entity Type: Individual
Name: Megan Bonaventura
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - School
Enumeration Date: Dec 16, 2021
Last Updated: Dec 16, 2021

Practice Location

Address: 512 BIRDSONG LN
City: Broadway
State: Virginia
ZIP Code: 22815-3637
Phone: (315) 447-6244

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - School — School	103TS0200X	Primary

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