Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MEGAN BONAVENTURA
Active Sole ProprietorMEGAN BONAVENTURA is a School Psychologist healthcare provider located in BROADWAY, Virginia. NPI 1104585173 is currently active in the NPPES registry. Verify at CMS.
School Psychologist · BROADWAY, VA
Registration Details
- NPI Number
- 1104585173
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 16, 2021 (4.6904084915672 yrs)
- Last Updated
- Dec 16, 2021
- License
-
PPS-0603571 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
512 BIRDSONG LNBROADWAY, VA, 228153637Browse VA providers · Browse ZIP 22815
- Phone
- 3154476244
- Primary Specialty
-
School Psychologist
103TS0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.