Healthcare Provider Details
I. General information
NPI: 1003257577
Provider Name (Legal Business Name): MULTILINGUAL PSYCHOLOGICAL SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/12/2013
Last Update Date: 11/21/2024
Certification Date: 11/21/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
13538 VILLAGE PARK DR UNIT 220
ORLANDO FL
32837-3603
US
IV. Provider business mailing address
13538 VILLAGE PARK DR UNIT 220
ORLANDO FL
32837-3603
US
V. Phone/Fax
- Phone: 407-494-3787
- Fax: 888-584-9071
- Phone: 407-494-3787
- Fax: 888-584-9071
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TF0200X |
| Taxonomy | Forensic Psychologist |
| License Number | PY8484 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | PY8484 |
| License Number State | FL |
VIII. Authorized Official
Name: DR.
AIDA
DORSAINVILLE
Title or Position: PRESIDENT
Credential: PSY.D.
Phone: 407-494-3787