Individual
DR. DIANE ALICIA TENNIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
115 FRANKLIN ST, SUITE 1A, BANGOR, ME 04401-4936
(207) 942-3635
(207) 941-1933
Mailing address
115 FRANKLIN ST, SUITE 1A, BANGOR, ME 04401-4936
(207) 942-3635
(207) 941-1933
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
LC 1572
ME
103TF0200X
Forensic Psychologist
Primary
PS955
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043983
BLUE CROSS BLUE SHIELD
ME
05
—
231220000
—
ME
Enumeration date
01/10/2007
Last updated
04/16/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us