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WESLEY GREEN
NPI 1962012310
Psychologist - Intellectual and Developmental Disabilities in Mount Dora, FL

Active since July 31, 2020
3340 LAKE CENTER DR APT 12107, MOUNT DORA, FL 32757(352) 800-9172 Get Directions Write a Review

NPPES record last updated: July 31, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wesley Green NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WESLEY GREEN (NPI 1962012310) is an individual intellectual and developmental disabilities provider in Mount Dora, Florida and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1962012310
Entity TypeIndividualMale
Primary Taxonomy103TM1800X
Provider Legal NameWESLEY GREEN
Location Address3340 LAKE CENTER DR APT 12107Mount Dora, FL 32757-2378
Mailing Address3340 Lake Center Dr Apt 12107Mount Dora, FL 32757-2378 · (352) 800-9172
Phone(352) 800-9172
Sole ProprietorYes
Enumeration DateJuly 31, 2020
NPPES CertifiedJuly 31, 2020
✔ NPI 1962012310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Intellectual and Developmental DisabilitiesBehavioral Health & Social Service Providers
Taxonomy Code103TM1800X
3340 LAKE CENTER DR APT 12107, Mount Dora, FL 32757
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wesley Green's NPI number?

The NPI number for Wesley Green is 1962012310. It was assigned to this individual provider in the NPPES registry on July 31, 2020.

Where is Wesley Green located?

Wesley Green practices at 3340 Lake Center Dr Apt 12107, Mount Dora, FL 32757. The listed phone number is (352) 800-9172.

What is Wesley Green's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Intellectual and Developmental Disabilities, with taxonomy code 103TM1800X.

When was this NPI record last updated?

The NPPES record for Wesley Green was last updated on July 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.