Provider Demographics
NPI:1336428234
Name:VITTINI, JANIE (MA)
Entity Type:Individual
Prefix:
First Name:JANIE
Middle Name:
Last Name:VITTINI
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5913 MAUSSER DR APT 2A
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32822-4268
Mailing Address - Country:US
Mailing Address - Phone:407-285-2675
Mailing Address - Fax:
Practice Address - Street 1:5913 MAUSSER DR APT 2A
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32822-4268
Practice Address - Country:US
Practice Address - Phone:407-285-2675
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-09
Last Update Date:2011-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker