Bob D Beliveau, MS,LP
Individual provider Active NPI Counseling Psychologist · Nashwauk, MN
NPI 1821291071 · NPPES record last updated Oct 26, 2011
Key facts
- NPI
- 1821291071
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counseling Psychologist 103TC1900X
- License
- LP3601 (MN)
- Practice address
- 409 4TH St
Nashwauk, MN 55769-1227 - Phone
- (218) 885-1215
- NPI assigned
- Jun 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP3601 | MN | MD | Counseling Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | LP3601 | MN | Yes |
Addresses
Primary practice location
409 4TH St
Nashwauk, MN 55769-1227
Mailing address
409 4TH St
Nashwauk, MN 55769-1227
Phone (218) 259-9572
Other providers in Nashwauk, MN
- Sara Terese Anderson
- Nadine Lynn Blixt
- Michelle Carroll
- City of Nashwauk
- Melodee Gilbertson
- Curtiss A Hautala
All providers in Nashwauk, MN · Counseling Psychologist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.