Provider Demographics
NPI:1720227341
Name:FITE, JANET MARIE (PHD)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:MARIE
Last Name:FITE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:JAN
Other - Middle Name:MARIE
Other - Last Name:KRUG-FITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:4225 ROOSEVELT WAY NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-6099
Mailing Address - Country:US
Mailing Address - Phone:206-598-7364
Mailing Address - Fax:
Practice Address - Street 1:4225 ROOSEVELT WAY NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-6099
Practice Address - Country:US
Practice Address - Phone:206-598-7364
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-05
Last Update Date:2009-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA2553103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist