Individual
EILEEN MARIE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
40 N GRAND AVE, SUITE 101, FORT THOMAS, KY 41075-4107
(859) 781-4900
(859) 572-3039
Mailing address
40 N GRAND AVE, SUITE 103, FORT THOMAS, KY 41075-4107
(859) 781-4900
(859) 572-3039
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
0526
KY
235Z00000X
Speech-Language Pathologist
—
—
237700000X
Hearing Instrument Specialist
—
—
Other
Enumeration date
12/16/2011
Last updated
04/30/2018
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