Provider Demographics
NPI:1962221606
Name:BELANGER, ROBERT LOUIS
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:LOUIS
Last Name:BELANGER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:276 WHITTEN RD STE 2
Mailing Address - Street 2:
Mailing Address - City:HALLOWELL
Mailing Address - State:ME
Mailing Address - Zip Code:04347-3057
Mailing Address - Country:US
Mailing Address - Phone:207-621-6760
Mailing Address - Fax:207-621-6764
Practice Address - Street 1:276 WHITTEN RD STE 2
Practice Address - Street 2:
Practice Address - City:HALLOWELL
Practice Address - State:ME
Practice Address - Zip Code:04347-3057
Practice Address - Country:US
Practice Address - Phone:207-621-6760
Practice Address - Fax:207-621-6764
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-09
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical