# DOCTOR DIANE, PS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154524460
- **Authorized official:** DR. DIANE M ADAMS PH.D. (PRESIDENT)
- **Authorized official phone:** (253) 852-4699

## Contact information

- **Practice address:** 1412 SW 43RD ST STE 240, RENTON, WA 98057-4803
- **Practice address phone:** (253) 852-4699
- **Practice address fax:** (844) 848-1265
- **Mailing address:** 7306 SW 34TH AVE, STE 1 \#228, AMARILLO, TX 79121-1140
- **Mailing address phone:** (253) 852-4699
- **Mailing address fax:** (844) 848-1265

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | 602507189 | WA | Yes |
| 103T00000X | Psychologist | PY2393 | WA | — |

## Other

- **Enumeration date:** 06/06/2007
- **Last updated:** 05/22/2020