DR. DIANE ALICIA TENNIES PH.D. NPI 1023168531

NPI Information

NPI: 1023168531
Provider Name: DR. DIANE ALICIA TENNIES, PH.D.
Classification: Psychologist - 103TF0200X
Entity Type: Individual

Specialization: Forensic

Address:
115 FRANKLIN ST
SUITE 1A
BANGOR, ME
ZIP 04401
Phone: (207) 942-3635
Get Directions

DR. Diane Alicia Tennies, PH.D. is a forensic psychologist in Bangor, ME. The provider is a psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems. DR. Diane Alicia Tennies, PH.D. NPI is 1023168531. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

115 FRANKLIN ST
SUITE 1A
BANGOR, ME
ZIP 04401-936
Phone: (207) 942-3635
Fax: (207) 941-1933

The enumeration date for this NPI number is 1/10/2007 and was last updated on 4/16/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TA0400X	Psychologist	Addiction (Substance Use Disorder)	LC 1572	MAINE	No
2	103TF0200X	Psychologist	Forensic	PS955	MAINE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	MM7707	MEDICARE ID-TYPE UNSPECIFIED	MAINE
2	231220000	MEDICAID	MAINE
3	043983	OTHER	MAINE	BLUE CROSS BLUE SHIELD
4	MM770703	MEDICARE PIN	MAINE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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