| Doctor Name: | MR. ROBERT PAUL BELLIVEAU |
| NPI Number: | 1063638997 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW LICENSED CLINIC |
| License Number: | 000700 |
| Business Practice Address: | 361 Mountain Road West Hartford, CT - 061071028 |
| Business Phone Number: | 8605211507 |
| Business Fax Number: | |
| Mailing Address: | 361 Mountain Road, WEST HARTFORD |
| State: | CT |
| Postal Code: | 061071028 |
| Phone Number: | 8602062807 |
| Fax Number: | |
| NPI Enumeration Date: | 04/18/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 000700 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |