Organization · Type 2 NPI

Tanya Theriot, Psy.d., P.c.

Psychologist · Marietta, GA

NPI number 1124251590 Active

Practice location

3939 Roswell Rd, Suite 185
Marietta, GA 30062-6251

Fax (770) 945-1211

Mailing address

PO Box 724384
Atlanta, GA 31139-1384

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XPSY002887 (GA)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1124251590

Tanya Theriot, Psy.d., P.c.'s National Provider Identifier is 1124251590, issued on Sep 1, 2009. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Marietta, GA. The record was last updated on Sep 1, 2009.