Individual
DR. DIANE M ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1412 SW 43RD ST STE 240, RENTON, WA 98057-4803
(253) 852-4699
(844) 848-1265
Mailing address
19012 103RD PL SE, RENTON, WA 98055-6602
(253) 852-4699
(844) 848-1265
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS00002393
WA
103TC0700X
Clinical Psychologist
PSY203189
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
602507189
UBI
WA
Enumeration date
08/18/2006
Last updated
05/22/2020
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