# PSYCHOLOGICAL CONSULTANTS OF MARIETTA, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093802233
- **Authorized official:** DR. MARK MANFRED ROLAND PH.D. (PRESIDENT)
- **Authorized official phone:** (770) 420-9448

## Contact information

- **Practice address:** 600 KENNESAW AVE NW, SUITE 300, MARIETTA, GA 30060-6988
- **Practice address phone:** (770) 420-9448
- **Mailing address:** 600 KENNESAW AVE NW, SUITE 300, MARIETTA, GA 30060-6988
- **Mailing address phone:** (770) 420-9448

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC0700X | Clinical Psychologist | 1872 | GA | — |
| 106H00000X | Marriage & Family Therapist | 897 | GA | Yes |

## Other

- **Enumeration date:** 10/09/2006
- **Last updated:** 09/11/2025