Individual provider · Type 1 NPI
Wesley Green
Intellectual & Developmental Disabilities Psychologist · Mount Dora, FL
NPI number
1962012310
Active
Practice location
3340 Lake Center Dr Apt 12107
Mount Dora, FL 32757-2378
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual & Developmental Disabilities Psychologist Primary | 103TM1800X | None listed |
Intellectual & Developmental Disabilities Psychologist: Definition to come...
About NPI 1962012310
Wesley Green's National Provider Identifier is 1962012310, issued on Jul 31, 2020. The primary taxonomy on file is Intellectual & Developmental Disabilities Psychologist (103TM1800X), and the practice location is in Mount Dora, FL. The record was last updated on Jul 31, 2020.