Gordon, Eliza Lee

Gordon, Eliza Lee is an individual health care provider with primary practice located at 15480 Elk Ridge Ln , Chesterfield MO 63017-5313. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Gordon, Eliza Lee can be contacted via phone (801) 683-9068.

Contact Information

Primary practice address
15480 Elk Ridge Ln Chesterfield MO 63017-5313
Phone: (801) 683-9068
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health 103TH0004X 2022012232 Missouri
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2022012232 Missouri

Profile Details

NPI number 1104384098
LBN Legal business name Gordon, Eliza Lee
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2019
Last updated Sep 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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