| Doctor Name: | BOB D BELIVEAU |
| NPI Number: | 1821291071 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MS,LP |
| License Number: | LP3601 |
| Business Practice Address: | 409 4th St Nashwauk, MN - 557691227 |
| Business Phone Number: | 2188851215 |
| Business Fax Number: | |
| Mailing Address: | 409 4th St, NASHWAUK |
| State: | MN |
| Postal Code: | 557691227 |
| Phone Number: | 2182599572 |
| Fax Number: | |
| NPI Enumeration Date: | 06/06/2007 |
| NPI Last Update Date: | 10/26/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | LP3601 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |