NPI 1124251590

Tanya Theriot, PSY.D., P.C.

Organisation Psychologist Marietta, GA

Practice location

Address: 3939 Roswell Rd Suite 185, Marietta, GA 30062-6251
Phone: (770) 310-1792
Fax: (770) 945-1211
Mailing address: PO Box 724384, Atlanta, GA 31139-1384

Authorised official

Name: Tanya Saporita Theriot
Title: Owner, Clinical Psychologist
Phone: (770) 310-1792

Registered specialties

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence PSY002887 (GA)

Other Psychologist providers in Georgia →

Registry record

NPI: 1124251590
Entity type: Organization
NPI issued: 1 Sep 2009
Record last updated: 1 Sep 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.