Provider Demographics
NPI:1114236726
Name:BELLEVUE, YVES SR
Entity Type:Individual
Prefix:MR
First Name:YVES
Middle Name:
Last Name:BELLEVUE
Suffix:SR
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 1:220 BELMONT ST
Mailing Address - Street 2:3
Mailing Address - City:MALDEN
Mailing Address - State:MA
Mailing Address - Zip Code:02148-7831
Mailing Address - Country:US
Mailing Address - Phone:781-558-3527
Mailing Address - Fax:
Practice Address - Street 1:220 BELMONT ST
Practice Address - Street 2:3
Practice Address - City:MALDEN
Practice Address - State:MA
Practice Address - Zip Code:02148-7831
Practice Address - Country:US
Practice Address - Phone:781-558-3527
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-29
Last Update Date:2010-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health