Healthcare Provider Details

I. General information

NPI: 1497469365
Provider Name (Legal Business Name): JACOB BEED ED.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2023
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

512 W PHILLIP AVE
NORFOLK NE
68701-5208
US

IV. Provider business mailing address

1505 LONGHORN DR
NORFOLK NE
68701-2323
US

V. Phone/Fax

Practice location:
  • Phone: 402-644-2500
  • Fax:
Mailing address:
  • Phone: 402-644-2500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: