DR. Diane Alicia Tennies, PH.D.

NPI #1023168531 in Bangor, Maine

Provider Information

NPI Number: 1023168531
Entity Type: Individual
Name: DR. Diane Alicia Tennies, PH.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Forensic
Credential: PH.D.
Enumeration Date: Jan 10, 2007
Last Updated: Apr 16, 2013

Practice Location

Address: 115 FRANKLIN ST
Address 2: SUITE 1A
City: Bangor
State: Maine
ZIP Code: 04401-4936
Phone: (207) 942-3635

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	103TA0400X
Psychologist - Forensic — Forensic	103TF0200X	Primary

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Organizations

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