Individual
ANITA MARIE VITALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
100 W GORE ST STE 405, ORLANDO, FL 32806-1049
(321) 841-3820
(321) 843-6836
Mailing address
100 W GORE ST STE 405, ORLANDO, FL 32806-1049
(321) 841-3820
(321) 843-6836
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
0810006450
VA
103TC0700X
Clinical Psychologist
0810006450
VA
103TC0700X
Clinical Psychologist
Primary
PY12368
FL
Other
Enumeration date
04/08/2020
Last updated
09/27/2024
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