Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samuel Gordon

Individual provider Speech-Language Pathologist · NPI 1710747001

Samuel Gordon is a Speech-Language Pathologist in Waconia, Minnesota. Works from 2 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2024

Practice location Address checks out

9346 Oak Ave
Waconia, MN 55387-9422
Phone: (952) 442-5812
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9375 Fenning Ave Ne, Monticello, MN 55362-8569 — (763) 272-2970

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X (MN)

Record details

NPI number1710747001
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 21, 2024
Last updated in NPPESJune 2, 2026
Certification dateJune 2, 2026
Mailing address1243 Edmonson Ave Ne Apt 309, Monticello, MN 55362-5509

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