MEDICARE: DR. TANYA SAPORITA THERIOT PSYD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	PSY002887	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821163874
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TANYA SAPORITA THERIOT PSYD

Provider Business Mailing Address
First Line	:	PO BOX 724384
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	31139-1384
Country	:	US
Telephone Number	:	770-310-1792
Fax Number	:	404-943-1211

Provider Business Practice Location Address
First Line	:	3901 ROSWELL RD
Second Line	:	SUITE 217
City	:	MARIETTA
State	:	GA
Zip	:	30062-8809
Country	:	US
Telephone Number	:	770-310-1792
Fax Number	:	404-943-1211

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/22/2006
Last Update Date	:	10/27/2011

Similar Medicare Providers

1518224997 — FAMILY CHIROPRACTIC OFFICE
Practice Location Address:

3901 ROSWELL RD , STE 208
MARIETTA, GA
30062-8809

Practice Phone: 770-509-9717
Practice Fax: 770-509-8796

1023088267 — DR. STEPHANIE LYNN TUCKER DC
Practice Location Address:

3901 ROSWELL RD , SUITE 208
MARIETTA, GA
30062-8809

Practice Phone: 770-509-9717
Practice Fax: 770-509-8796

1487684544 — DR. SPENCER H GELERNTER PH.D.
Practice Location Address:

3901 ROSWELL RD , STE 210
MARIETTA, GA
30062-8809

Practice Phone: 770-509-8266
Practice Fax: 770-509-8966

1831253905 — DR. JAMES PRIZANT SYLVAN D.D.S.
Practice Location Address:

3901 ROSWELL RD , SUITE # 220
MARIETTA, GA
30062-8809

Practice Phone: 770-977-0977
Practice Fax: 770-977-2910

1033262035 — MR. NORMAN DEXTER WINEGAR LCSW
Practice Location Address:

3901 ROSWELL RD , #340
MARIETTA, GA
30062-8809

Practice Phone: 678-569-2161
Practice Fax:

1609017649 — DR. LEAH MARIE FERRIS-YANKUS PH.D.
Practice Location Address:

3901 ROSWELL RD , SUITE 210
MARIETTA, GA
30062-8809

Practice Phone: 770-509-8266
Practice Fax: 770-509-8966

Directions to “ DR. TANYA SAPORITA THERIOT PSYD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.