Provider Demographics
NPI:1801142468
Name:DORSAINVILLE, AIDA (PSYD)
Entity type:Individual
Prefix:DR
First Name:AIDA
Middle Name:
Last Name:DORSAINVILLE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13538 VILLAGE PARK DR UNIT 220
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32837-3603
Mailing Address - Country:US
Mailing Address - Phone:407-494-3787
Mailing Address - Fax:888-584-9071
Practice Address - Street 1:13538 VILLAGE PARK DR UNIT 220
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32837-3603
Practice Address - Country:US
Practice Address - Phone:407-494-3787
Practice Address - Fax:888-584-9071
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-31
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY8484103TF0200X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic