Provider Demographics
NPI:1285109090
Name:FABERT, NATALIE (PHD)
Entity type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:
Last Name:FABERT
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8710 E SAN DANIEL DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-2604
Mailing Address - Country:US
Mailing Address - Phone:206-388-9742
Mailing Address - Fax:
Practice Address - Street 1:4300 N MILLER RD STE 110
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-3638
Practice Address - Country:US
Practice Address - Phone:206-388-9742
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-08
Last Update Date:2018-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4663103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist