Healthcare Provider Details

I. General information

NPI: 1609984806
Provider Name (Legal Business Name): JOREY FRIEDMAN BEEGUN PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2006
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 AUBURN DR STE 200
BEACHWOOD OH
44122-4328
US

IV. Provider business mailing address

5017 LANSDOWNE DR STE 200
SOLON OH
44139-1226
US

V. Phone/Fax

Practice location:
  • Phone: 919-436-3751
  • Fax:
Mailing address:
  • Phone: 919-436-3751
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number6500
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: