Fredric P. Provenzano, PhD
- Affiliated sites
- 1
- State license
- 1
- Year NPI issued
- 2007
- Practice address
- 27500 102nd Ave Nw, Stanwood, WA 98292
- Practice phone
- Call (360) 629-7528
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Northsound Physical Therapy - Stanwood Clinic
Physical Therapy Clinic · Stanwood, Washington
Find Fredric Provenzano's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Fredric P. Provenzano is a psychologist in Stanwood, Washington
Fredric Provenzano practices at Northsound Physical Therapy - Stanwood Clinic in Stanwood, Washington.
Fredric Provenzano's NPI, 1700932696, was assigned on January 25, 2007. Fredric Provenzano holds Washington license 1022.
- NPI
- 1700932696NPI Registry (opens in a new tab)
- NPI enumeration date
- January 25, 2007
- NPI status
- Active
- Practice phone
- (360) 629-7528
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Affiliation Data
Fredric P. Provenzano practices at Northsound Physical Therapy - Stanwood Clinic in Stanwood, Washington
Fredric Provenzano's primary practice is Northsound Physical Therapy - Stanwood Clinic, at 27500 102nd Ave Nw, Stanwood, WA 98292. The practice phone is (360) 629-7528.
- Northsound Physical Therapy - Stanwood Clinic27500 102nd Ave Nw, Stanwood, WA 98292Phone(360) 629-7528
Source: Dmand AI Affiliation Data
Fredric P. Provenzano is affiliated with 1 site of care
Fredric Provenzano's primary practice is Northsound Physical Therapy - Stanwood Clinic in Stanwood, Washington.
Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Fredric P. Provenzano's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Fredric Provenzano practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Northsound Physical Therapy - Stanwood Clinic | Available with a free account |
Source: Dmand AI Technology Install Data
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Fredric P. Provenzano is one of 329 psychologists in Washington
Psychologist is Fredric Provenzano's primary specialty in the NPI Registry, under taxonomy code 103T00000X. Fredric Provenzano is licensed in Washington.
Specialties and state licenses
- Psychologist, WashingtonPrimary
Psychologists near Fredric Provenzano
Counts of psychologists with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Fredric P. Provenzano's patients have a median age of 41
Across all payers, Dmand AI patient panel data puts Fredric Provenzano's median patient age at 41, with 0% women.
Fredric Provenzano's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 41
Patient panel by sex, all payers
- Women0%
- Men100%
Source: Dmand AI Patient Panel Data
Sources for Fredric P. Provenzano's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Fredric P. Provenzano
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What is Fredric P. Provenzano's NPI number?
Fredric P. Provenzano's NPI number is 1700932696. It was assigned on January 25, 2007, and it is active in the NPI Registry.
What does Fredric P. Provenzano specialize in?
Fredric P. Provenzano is a psychologist in Stanwood, Washington. The primary specialty in the NPI Registry is Psychologist (taxonomy code 103T00000X).
Where does Fredric P. Provenzano practice?
Fredric Provenzano practices at 27500 102nd Ave Nw, Stanwood, WA 98292. Fredric Provenzano's primary practice is Northsound Physical Therapy - Stanwood Clinic in Stanwood, Washington.
What is Fredric P. Provenzano's office phone number?
The practice phone on file for Fredric Provenzano is (360) 629-7528.
What is Fredric P. Provenzano's medical license number?
Fredric Provenzano holds Washington license 1022.
How long has Fredric P. Provenzano been practicing?
Fredric Provenzano's NPI was assigned in 2007.
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