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Wesley Green
Intellectual & Developmental Disabilities Psychologist in Mount Dora, Florida
NPI 1962012310

Wesley Green is a Intellectual & Developmental Disabilities Psychologist based in Mount Dora, FL and is specialized in Intellectual & Developmental Disabilities. Wesley Green practices in Mount Dora, FL. The NPI Number for Wesley Green is 1962012310 and holds a License No. (Florida).

The current practice location address for Wesley Green is 3340 Lake Center Dr Apt 12107, Mount Dora, FL and can be reached out via phone at 352-800-9172.

Location: 3340 Lake Center Dr Apt 12107, Mount Dora, FL, 32757-2378
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962012310
Provider Name
Wesley Green
Credential
Provider Entity Type
Individual
Gender
Male
Address
3340 Lake Center Dr Apt 12107, Mount Dora, FL, 32757-2378
Phone Number
352-800-9172
Fax Number
Provider Enumeration Date
07/31/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3340 Lake Center Dr Apt 12107
City
Mount Dora
State
Florida
Zip
32757-2378
Phone Number
352-800-9172
Fax Number
person
Provider Business Mailing Address Details
Address
3340 Lake Center Dr Apt 12107
City
Mount Dora
State
Florida
Zip
32757-2378
Phone Number
352-800-9172
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Intellectual & Developmental Disabilities
Taxonomy
103TM1800X
License No.
()
Definition
Definition to come...
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