Individual
TANYA YVONNE THERIAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1221 W LAKEVIEW AVE, PENSACOLA, FL 32501-1836
(850) 469-3500
(850) 595-1400
Mailing address
1221 W LAKEVIEW AVE, PENSACOLA, FL 32501-1836
(850) 469-3500
(850) 595-1400
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
OS11265
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005930800
—
FL
Enumeration date
06/12/2007
Last updated
10/16/2025
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