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Dr. Diane Alicia Tennies, PHD
Forensic Psychologist in Bangor, Maine
NPI 1023168531

Diane Alicia Tennies is a Forensic Psychologist based in Bangor, ME and is specialized in Forensic. Diane Alicia Tennies practices in Bangor, ME and has the professional credentials of PHD. The NPI Number for Diane Alicia Tennies is 1023168531 and holds a License No. LC 1572 (Maine).

The current practice location address for Diane Alicia Tennies is 115 Franklin St, Bangor, ME and can be reached out via phone at 207-942-3635 and via fax at 207-941-1933. You can also correspond with Diane Alicia Tennies through the mailing address at 115 FRANKLIN ST, BANGOR, ME - 04401-4936 (mailing address contact number: 207-942-3635).

Location: 115 Franklin St, Bangor, ME, 04401-4936
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023168531
Provider Name
Diane Alicia Tennies
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
115 Franklin St, Bangor, ME, 04401-4936
Phone Number
207-942-3635
Fax Number
207-941-1933
Provider Enumeration Date
01/10/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
043983 01 ME BLUE CROSS BLUE SHIELD
231220000 05 ME
institution
Provider Business Practice Location Address Details
Address
115 Franklin St
City
Bangor
State
Maine
Zip
04401-4936
Phone Number
207-942-3635
Fax Number
207-941-1933
person
Provider Business Mailing Address Details
Address
115 Franklin St
City
Bangor
State
Maine
Zip
04401-4936
Phone Number
207-942-3635
Fax Number
207-941-1933
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Addiction (Substance Use Disorder)
Taxonomy
103TA0400X
License No.
PS955 (Maine)
Definition
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Forensic
Taxonomy
103TF0200X
License No.
LC 1572 (Maine)
Definition
A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.
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