| Doctor Diane, Ps | |
|
1412 Sw 43rd St Ste 240 Renton WA 98057-4803 | |
| (253) 852-4699 | |
| (844) 848-1265 |
| Full Name | Doctor Diane, Ps |
|---|---|
| Speciality | Psychologist |
| Location | 1412 Sw 43rd St Ste 240, Renton, Washington |
| Authorized Official Name and Position | Diane M Adams (PRESIDENT) |
| Authorized Official Contact | 2538524699 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Doctor Diane, Ps 7306 Sw 34th Ave Ste 1 #228 Amarillo TX 79121-1140 Ph: (253) 852-4699 | Doctor Diane, Ps 1412 Sw 43rd St Ste 240 Renton WA 98057-4803 Ph: (253) 852-4699 |
| NPI Number | 1154524460 |
|---|---|
| Provider Enumeration Date | 06/06/2007 |
| Last Update Date | 05/22/2020 |
| Certification Date | 05/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154524460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 602507189 (Washington) | Primary |
| 103T00000X | Psychologist | PY2393 (Washington) | Secondary |
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