Individual
TANYA OKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
6000 LAKE FORREST DR STE 103, ATLANTA, GA 30328-5902
(042) 569-3254
Mailing address
860 JOHNSON FY RD NE STE 140-223, ATLANTA, GA 30342-1435
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
31699
CA
103TC0700X
Clinical Psychologist
PS-T001083
GA
Other
Enumeration date
08/29/2018
Last updated
09/02/2021
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