DoctorDataHub
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 (8.5122059423059 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.