Fredric P. Provenzano in Seattle - Psychologist
Fredric P. Provenzano - NPI 1700932696
Fredric P. Provenzano is a Psychologist in Seattle, Washington. Fredric P. Provenzano practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Fredric P. Provenzano is 1700932696. The last update date is 2007-07-08.
Fredric P. Provenzano's current location address is 5506 33rd Ave Ne, Seattle, Washington. You can contact this provider via phone number 2063612343 and fax number 2063610353. The mailing address for Fredric P. Provenzano is 5506 33rd Ave Ne, Seattle, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Fredric P. Provenzano |
|---|---|
| Address | 5506 33rd Ave Ne, Seattle, Washington |
| Phone Number | 2063612343 |
| Fax Number | 2063610353 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1700932696 |
|---|---|
| Provider Enumeration Date | 2007-01-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5506 33rd Ave Ne |
|---|---|
| City | Seattle |
| State | Washington (WA) |
| Post Code | 981052317 |
| Phone Number | 2063612343 |
| Fax Number | 2063610353 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 1022 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Fredric P. Provenzano by the Centers for Medicare & Medicaid Services?
The Fredric P. Provenzano has been assigned the NPI (National Provider Identifier) 1700932696 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Fredric P. Provenzano?
The Fredric P. Provenzano is situated at 5506 33Rd Ave Ne, in the city of Seattle, state of WA, with the zip code 981052317.
What is Fredric P. Provenzano's area of expertise and its corresponding taxonomy classification?
The Fredric P. Provenzano's field of specialization is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Fredric P. Provenzano receive its 1700932696 assignment from the Centers for Medicare & Medicaid Services?
The Fredric P. Provenzano was assigned its 1700932696 by the Centers for Medicare & Medicaid Services on 2007-01-25.
As of what date was the information pertaining to Fredric P. Provenzano, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Fredric P. Provenzano, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.