Provider Demographics
NPI:1205304813
Name:NATALIE S. FABERT, PH.D., PLLC
Entity type:Organization
Organization Name:NATALIE S. FABERT, PH.D., PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FABERT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:206-388-9742
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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-13
Last Update Date:2018-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty