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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