Healthcare Provider Details

I. General information

NPI: 1871070631
Provider Name (Legal Business Name): SYDNEY YVONNE BEEMAN ROBERTS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2018
Last Update Date: 01/02/2026
Certification Date: 01/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33140 AURORA RD STE 3
SOLON OH
44139-3650
US

IV. Provider business mailing address

33140 AURORA RD STE 3
SOLON OH
44139-3650
US

V. Phone/Fax

Practice location:
  • Phone: 440-290-1083
  • Fax: 440-290-1772
Mailing address:
  • Phone: 440-290-1083
  • Fax: 440-290-1772

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberC.2103690
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: