Healthcare Provider Details

I. General information

NPI: 1396310892
Provider Name (Legal Business Name): REBECCA LEA FABBRO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2021
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3811 OHARA ST STE 431
PITTSBURGH PA
15213-2561
US

IV. Provider business mailing address

3811 OHARA ST
PITTSBURGH PA
15213-2561
US

V. Phone/Fax

Practice location:
  • Phone: 724-334-3640
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD495948
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD495948
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: