| Wesley Green, | |
|
3340 Lake Center Dr Apt 12107, Mount Dora, FL 32757-2378 | |
| (352) 800-9172 | |
| Not Available |
| Full Name | Wesley Green |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Intellectual & Developmental Disabilities |
| Location | 3340 Lake Center Dr Apt 12107, Mount Dora, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962012310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Wesley Green, 3340 Lake Center Dr Apt 12107, Mount Dora, FL 32757-2378 Ph: (352) 800-9172 | Wesley Green, 3340 Lake Center Dr Apt 12107, Mount Dora, FL 32757-2378 Ph: (352) 800-9172 |
Dr. Maria Viera Nodarse, PSID Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2110 N Donnelly St Ste 109, Mount Dora, FL 32757 Phone: 352-321-0098 | |
Evelyn Seabrook, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3750 Lake Center Loop, Mount Dora, FL 32757 Phone: 352-383-2194 |