Healthcare Provider Details

I. General information

NPI: 1801142468
Provider Name (Legal Business Name): AIDA DORSAINVILLE PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2012
Last Update Date: 12/07/2025
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

Practice location:
  • Phone: 407-494-3787
  • Fax: 888-584-9071
Mailing address:
  • Phone: 407-494-3787
  • Fax: 888-584-9071

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License NumberPY8484
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY8484
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: