Individual
GREGORY JOHN VITALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
14 W GORE ST, ORLANDO, FL 32806-1114
(321) 841-5725
(321) 843-1635
Mailing address
14 W GORE ST, ORLANDO, FL 32806-1114
(321) 841-5725
(321) 843-1635
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
0810007797
VA
103TC0700X
Clinical Psychologist
Primary
PY12373
FL
Other
Enumeration date
06/08/2022
Last updated
02/26/2026
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