Healthcare Provider Details

I. General information

NPI: 1972432748
Provider Name (Legal Business Name): GABRIELLA REBAY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18621 E ALKI AVE
SPOKANE VALLEY WA
99016-9505
US

IV. Provider business mailing address

3697 S CARPENTER LOOP
POST FALLS ID
83854-8258
US

V. Phone/Fax

Practice location:
  • Phone: 509-443-5127
  • Fax:
Mailing address:
  • Phone: 714-745-8494
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: