Tanya Theriot, Psy.D., P.C.

LBN: Tanya Theriot, Psy.D., P.C.
Tanya Theriot, Psy.D., P.C. is an health care organization with primary practice located at 3939 Roswell Rd Suite 185, Marietta GA 30062-6251. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Tanya Theriot, Psy.D., P.C. can be contacted via phone (770) 310-1792, or through Theriot, Tanya Saporita via phone (770) 310-1792.

Contact Information

Primary practice address
3939 Roswell Rd Suite 185 Marietta GA 30062-6251
Phone: (770) 310-1792
Fax: (770) 945-1211
Website:
Map and Directions
Authorized official contact:
Name: Theriot, Tanya Saporita PSY.D.
Phone: (770) 310-1792

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY002887 Georgia

Profile Details

NPI number 1124251590
LBN Legal business name Tanya Theriot, Psy.D., P.C.
DBA Doing business as
Authorized official Theriot, Tanya Saporita PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 1st, 2009
Last updated Sep 1st, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124251590 NPPES
Guam MEDICAID 409047010A

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