Organization
TANYA THERIOT, PSY.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TANYA SAPORITA THERIOT PSY.D. (OWNER, CLINICAL PSYCHOLOGIST)
(770) 310-1792
Entity
Organization
Contact information
Practice address
3939 ROSWELL RD, SUITE 185, MARIETTA, GA 30062-6251
(770) 310-1792
(770) 945-1211
Mailing address
PO BOX 724384, ATLANTA, GA 31139-1384
(770) 310-1792
(404) 945-1211
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY002887
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
409047010A
—
GU
Enumeration date
09/01/2009
Last updated
09/01/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us