Eliza Lee Gordon, PHD - Psychologist in Chesterfield, MO

Eliza Lee Gordon, PHD is a Psychologist - Clinical based in Chesterfield, Missouri. Eliza Lee Gordon is licensed to practice in Missouri (license number 2022012232) and her current practice location is 15480 Elk Ridge Ln, Chesterfield, Missouri. She can be reached at her office (for appointments etc.) via phone at (801) 683-9068.

NPI number for Eliza Lee Gordon is 1104384098 and her current mailing address is 1734 Clarkson Rd # 1122, Chesterfield, Missouri. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104384098.

Contact Information

Eliza Lee Gordon, PHD
15480 Elk Ridge Ln,
Chesterfield, MO 63017-5313
(801) 683-9068
Not Available



Healthcare Provider's Profile

Full NameEliza Lee Gordon
GenderFemale
SpecialityPsychologist - Clinical
Location15480 Elk Ridge Ln, Chesterfield, Missouri
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1104384098
  • Provider Enumeration Date: 03/09/2019
  • Last Update Date: 09/21/2022

Medical Identifiers

Medical identifiers for Eliza Lee Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104384098NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TH0004XPsychologist - Health 2022012232 (Missouri)Secondary
103TC0700XPsychologist - Clinical 2022012232 (Missouri)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Eliza Lee Gordon is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Eliza Lee Gordon, PHD
1734 Clarkson Rd # 1122,
Chesterfield, MO 63017-4976

Ph: (801) 683-9068
Eliza Lee Gordon, PHD
15480 Elk Ridge Ln,
Chesterfield, MO 63017-5313

Ph: (801) 683-9068

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› Verified 7 days ago


Psychologist in Chesterfield, MO

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