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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. EITAN M GORDON, ED.S.

Active

MR. EITAN M GORDON, ED.S. is a School Psychologist healthcare provider located in LEBANON, Indiana. NPI 1417455452 is currently active in the NPPES registry. Verify at CMS.

School Psychologist · LEBANON, IN

Registration Details

NPI Number
1417455452
Provider Type
Individual
Gender
Male
NPI Issued
Jan 24, 2018 (8.7567379521563 yrs)
Last Updated
Oct 28, 2024
License
10283464 (IN)

Practice Information

Address
1810 N GRANT ST
LEBANON, IN, 460521242
Browse IN providers · Browse ZIP 46052
Phone
7737422487
Primary Specialty
School Psychologist
103TS0200X

Other School Psychologist Providers in LEBANON, IN

Name Credential NPI
ABIGAIL GLIVA — 1518789916
KRISTIN BLESSING — 1215751995
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.