Dr Diane Alicia Tennies, PHD - Psychologist in Bangor, ME

Dr Diane Alicia Tennies, PHD is a Psychologist - Forensic based in Bangor, Maine. Dr Diane Alicia Tennies is licensed to practice in Maine (license number PS955) and her current practice location is 115 Franklin St, Suite 1a, Bangor, Maine. She can be reached at her office (for appointments etc.) via phone at (207) 942-3635.

NPI number for Dr Diane Alicia Tennies is 1023168531 and her current mailing address is 115 Franklin St, Suite 1a, Bangor, Maine. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023168531.

Contact Information

Dr Diane Alicia Tennies, PHD
115 Franklin St, Suite 1a,
Bangor, ME 04401-4936
(207) 942-3635
(207) 941-1933

Map and Direction




Healthcare Provider's Profile

Full NameDr Diane Alicia Tennies
GenderFemale
SpecialityPsychologist - Forensic
Location115 Franklin St, Bangor, Maine
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1023168531
  • Provider Enumeration Date: 01/10/2007
  • Last Update Date: 04/16/2013

Medical Identifiers

Medical identifiers for Dr Diane Alicia Tennies such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023168531NPI-NPPES
043983OtherMEBLUE CROSS BLUE SHIELD
231220000MedicaidME

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TA0400XPsychologist - Addiction (substance Use Disorder) LC 1572 (Maine)Secondary
103TF0200XPsychologist - Forensic PS955 (Maine)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Diane Alicia Tennies is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Diane Alicia Tennies, PHD
115 Franklin St, Suite 1a,
Bangor, ME 04401-4936

Ph: (207) 942-3635
Dr Diane Alicia Tennies, PHD
115 Franklin St, Suite 1a,
Bangor, ME 04401-4936

Ph: (207) 942-3635

Reviews and Comments


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