Wesley Green
NPI #1962012310 in Mount Dora, Florida
Provider Information
- NPI Number
- 1962012310
- Entity Type
- Individual
- Name
- Wesley Green
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist - Intellectual & Developmental Disabilities
- Enumeration Date
- Jul 31, 2020
- Last Updated
- Jul 31, 2020
Practice Location
- Address
- 3340 LAKE CENTER DR APT 12107
- City
- Mount Dora
- State
- Florida
- ZIP Code
- 32757-2378
- Phone
- (352) 800-9172
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Intellectual & Developmental Disabilities — Intellectual & Developmental Disabilities |
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