NPI age
16 years
Enumerated 2009-09-01
● Active Type 2 · Organization
Tanya Theriot, Psy.d., P.c.
Tanya Theriot, Psy.d., P.c. is 1 of 1114 psychologist organizations in Georgia.
Primary specialty
Psychologist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Theriot
Owner, Clinical Psychologist
Last NPPES update
2009-09-01
Source: monthly bulk 2026-05
How this organization compares
Across 1114 active psychologist providers in Georgia.
NPI age
16 years
≈ at median (17 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2009 → 2026
2009-09Enumerated in NPPES
2009
2026
Where they practice
Primary practice location
3939 Roswell Rd, Suite 185
Marietta, GA 300626251
Mailing address
Po Box 724384
Atlanta, GA 311391384
Authorized official
Tanya Saporita Theriot, PSY.D.
Owner, Clinical Psychologist
📞 7703101792
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Sona Amin, MD Internal Medicine NPI 1700958394
- Christine Ghilain, PHD Clinical Neuropsychologist NPI 1578049656
- Robin King, MSW,LCSW Social Worker NPI 1992866818
- Alice Nix, P.T. Physical Therapist NPI 1740365725
- Susan Staviss, M.D. Pediatrics NPI 1346242229
Specialties
-
Psychologist PrimaryA 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,...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GU) | 409047010A |
Practice context
Multi-provider organization. 5 individual providers on file at this primary address.
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