Dr. Diane Alicia Tennies
Forensic Psychologist Addiction Psychologist (Substance Use Disorder)
115 Franklin St Suite 1a
Bangor
, Maine 04401-4936
Dr. Diane Alicia Tennies
Forensic Psychologist Addiction Psychologist (Substance Use Disorder)
115 Franklin St Suite 1a
Bangor
, Maine 04401-4936
(207) 941-1933
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About
Features
Specialties
- Addiction Psychologist (Substance Use Disorder)
- Forensic Psychologist
Languages spoken
- English
Location
First Address
- Dr. Diane Alicia Tennies
- 115 Franklin St Suite 1a
- Bangor, ME
- Zip : 04401-4936
- Fax : (207) 941-1933
- Phone : (207) 942-3635
Second Address
- Dr. Diane Alicia Tennies
- 115 Franklin St Suite 1a
- Bangor, ME
- Zip : 04401-4936
- Fax : (207) 941-1933
- Phone : (207) 942-3635
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | LC 1572 | ME |
| Y | 103TF0200X | Forensic Psychologist | PS955 | ME |
National Provider Identifier
| NPI | 1023168531 |
|---|---|
| Provider Name | Dr. Diane Alicia Tennies |
| First Address | Bangor, ME 04401-4936 |
| Second Address | Bangor, ME 04401-4936 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/01/2007 |
| Last Update Date | 16/04/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 043983 | BLUE CROSS BLUE SHIELD (01) | ME |
| 231220000 | (05) | ME |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.