NPI 1023168531

Diane Alicia Tennies, PHD

Practitioner Forensic Psychologist Bangor, ME

Practice location

Address: 115 Franklin St Suite 1a, Bangor, ME 04401-4936
Phone: (207) 942-3635
Fax: (207) 941-1933

Registered specialties (2)

Forensic Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TF0200X Licence PS955 (ME)

Other Psychologist providers in Maine →

Addiction (Substance Use Disorder) Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TA0400X Licence LC 1572 (ME)

Registry record

NPI: 1023168531
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Jan 2007
Record last updated: 16 Apr 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.