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NPI Code Detail

MEDICARE: MS. NATALIE KATE REBELLO

MEDICARE: MS. NATALIE KATE REBELLO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1003709783
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NATALIE KATE REBELLO
Provider Business Mailing Address
First Line : 1951 E MINTON DR
Second Line :
City : TEMPE
State : AZ
Zip : 85282-7355
Country : US
Telephone Number : 510-366-9617
Fax Number :
Provider Business Practice Location Address
First Line : 4635 N 14TH ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85014-4016
Country : US
Telephone Number : 602-264-9039
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2025
Last Update Date : 05/31/2025

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Directions to “ MS. NATALIE KATE REBELLO ” Practice Location

Language Start Address Practice Location
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