Mr. Eitan M Gordon, EDS
Mr. Eitan M Gordon, EDS is a School Psychologist in Lebanon, Indiana. Licensed in Indiana. Registered with an NPI since 2018.
- Licensed in
- IN
- In the registry since
- 2018
Practice location Address checks out
1810 N Grant StLebanon, IN 46052-1242
Phone: (773) 742-2487
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| School Psychologist (primary) | Taxonomy 103TS0200X · Licence 10283464 (IN) |
|---|
Record details
| NPI number | 1417455452 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | EDS |
| Sole proprietor | No |
| NPI enumerated | January 24, 2018 |
| Last updated in NPPES | October 28, 2024 |
| Certification date | October 28, 2024 |
| Mailing address | 1810 N Grant St, Lebanon, IN 46052-1242 |
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