Provider Demographics
NPI:1003709783
Name:REBELLO, NATALIE KATE
Entity type:Individual
Prefix:MS
First Name:NATALIE
Middle Name:KATE
Last Name:REBELLO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1951 E MINTON DR
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-7355
Mailing Address - Country:US
Mailing Address - Phone:510-366-9617
Mailing Address - Fax:
Practice Address - Street 1:4635 N 14TH ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85014-4016
Practice Address - Country:US
Practice Address - Phone:602-264-9039
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-31
Last Update Date:2025-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist