Wesley Green
Intellectual & Developmental Disabilities Psychologist · Mount Dora, FL
Practice location
3340 Lake Center Dr Apt 12107Mount Dora, FL 32757-2378
- Phone
- (352) 800-9172
NPI record
- NPI
- 1962012310
- Entity type
- Individual (Type 1)
- Enumeration date
- July 31, 2020
- Last updated
- July 31, 2020
- Certified
- July 31, 2020
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Intellectual & Developmental Disabilities Psychologist Primary | 103TM1800X |
— | — |
About Wesley Green
Wesley Green is a healthcare provider registered in the NPI registry with the primary taxonomy Intellectual & Developmental Disabilities Psychologist (code 103TM1800X). The practice location is 3340 Lake Center Dr Apt 12107, Mount Dora, FL 32757-2378. The NPI number 1962012310 was assigned on July 31, 2020 and the record was last updated on July 31, 2020.
Frequently asked questions
What is the NPI number of Wesley Green?
The NPI number is 1962012310.
What is the phone number of Wesley Green?
The phone number listed for the practice location is (352) 800-9172.
Where is Wesley Green located?
3340 Lake Center Dr Apt 12107, Mount Dora, FL 32757-2378.
What is the taxonomy code for Wesley Green?
The primary taxonomy code is 103TM1800X – Intellectual & Developmental Disabilities Psychologist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.