Provider Demographics
NPI:1932255916
Name:HORVATH, REBECCA (MA, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:
Last Name:HORVATH
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17030 N 49TH ST APT 2114
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-7580
Mailing Address - Country:US
Mailing Address - Phone:602-795-2547
Mailing Address - Fax:
Practice Address - Street 1:5110 E LAFAYETTE BLVD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85018-4433
Practice Address - Country:US
Practice Address - Phone:480-484-2000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP4546235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist