Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Fredric P. Provenzano, PHD

Individual provider Psychologist · NPI 1700932696

Dr. Fredric P. Provenzano, PHD is a Psychologist in Seattle, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

5506 33rd Ave NE Ste D
Seattle, WA 98105-2317
Phone: (206) 361-2343
Fax: (206) 361-0353
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 1022 (WA)

Record details

NPI number1700932696
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedJanuary 25, 2007
Last updated in NPPESJuly 8, 2007

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