Wesley Green
Wesley Green is an Intellectual & Developmental Disabilities Psychologist in Mount Dora, Florida. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
3340 Lake Center Dr Apt 12107Mount Dora, FL 32757-2378
Phone: (352) 800-9172
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual & Developmental Disabilities Psychologist (primary) | Taxonomy 103TM1800X |
|---|
Record details
| NPI number | 1962012310 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 31, 2020 |
| Last updated in NPPES | July 31, 2020 |
| Certification date | July 31, 2020 |
| Mailing address | 3340 Lake Center Dr Apt 12107, Mount Dora, FL 32757-2378 |