MEDICARE: MULTILINGUAL PSYCHOLOGICAL SERVICES, LLC

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	103TF0200X	Forensic Psychologist	PY8484	FL
2	103TC0700X	Clinical Psychologist	PY8484	FL

General Provider Information

NPI Number	:	1003257577
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MULTILINGUAL PSYCHOLOGICAL SERVICES, LLC

Provider Business Mailing Address
First Line	:	13538 VILLAGE PARK DR UNIT 220
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32837-3603
Country	:	US
Telephone Number	:	407-494-3787
Fax Number	:	888-584-9071

Provider Business Practice Location Address
First Line	:	13538 VILLAGE PARK DR UNIT 220
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32837-3603
Country	:	US
Telephone Number	:	407-494-3787
Fax Number	:	888-584-9071

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. AIDA DORSAINVILLE
Credential	:	PSY.D.
Telephone Number	:	407-494-3787

Provider Enumeration Date	:	07/12/2013
Last Update Date	:	11/21/2024

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