MEDICARE: MS. REBECCA HORVATH M.A., CCC-SLP

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
1	235Z00000X	Speech-Language Pathologist	SLP4546	AZ

General Provider Information

NPI Number	:	1932255916
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. REBECCA HORVATH M.A., CCC-SLP

Provider Business Mailing Address
First Line	:	17030 N 49TH ST APT 2114
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85254-7580
Country	:	US
Telephone Number	:	602-795-2547
Fax Number	:

Provider Business Practice Location Address
First Line	:	5110 E LAFAYETTE BLVD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85018-4433
Country	:	US
Telephone Number	:	480-484-2000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2007
Last Update Date	:	07/08/2007

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