Provider Demographics
NPI:1194858274
Name:FIBEL, YVETTE RENEE (MACCC)
Entity Type:Individual
Prefix:MRS
First Name:YVETTE
Middle Name:RENEE
Last Name:FIBEL
Suffix:
Gender:F
Credentials:MACCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4902 IRVINE CENTER DR STE 107
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92604-3334
Mailing Address - Country:US
Mailing Address - Phone:949-552-4603
Mailing Address - Fax:949-552-7184
Practice Address - Street 1:4902 IRVINE CENTER DR STE 107
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92604-3334
Practice Address - Country:US
Practice Address - Phone:949-552-4603
Practice Address - Fax:949-552-7184
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP7068235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist