Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DIANE ALICIA TENNIES, PH.D.
Active Sole ProprietorDR. DIANE ALICIA TENNIES, PH.D. is a Forensic Psychologist healthcare provider located in BANGOR, Maine. NPI 1023168531 is currently active in the NPPES registry. Verify at CMS.
Forensic Psychologist · BANGOR, ME
Registration Details
- NPI Number
- 1023168531
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 10, 2007 (19.565897451406 yrs)
- Last Updated
- Apr 16, 2013
- Licenses
-
LC 1572 (ME)PS955 (ME)
- Sole Proprietor
- Yes
Practice Information
- Address
-
115 FRANKLIN STSUITE 1ABANGOR, ME, 044014936Browse ME providers · Browse ZIP 04401
- Phone
- 2079423635
- Fax
- 2079411933
- Primary Specialty
-
Forensic Psychologist
103TF0200X
- Additional Specialty
- Forensic Psychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.