Healthcare Provider Details

I. General information

NPI: 1376107607
Provider Name (Legal Business Name): KATE FABRIZIO M.A. CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2019
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 DISTRICT CENTER DR
PALM SPRINGS CA
92264-3626
US

IV. Provider business mailing address

4283 WEDGEWOOD DR
YOUNGSTOWN OH
44511-1026
US

V. Phone/Fax

Practice location:
  • Phone: 760-883-2700
  • Fax:
Mailing address:
  • Phone: 330-550-2692
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: