| Samuel Gordon, | |
|
9346 Oak Ave, Waconia, MN 55387-9422 | |
| (952) 442-5812 | |
| Not Available |
| Full Name | Samuel Gordon |
|---|---|
| Gender | Male |
| Speciality | Speech-language Pathologist |
| Location | 9346 Oak Ave, Waconia, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710747001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Gordon, 307 E 7th St Apt 205, Monticello, MN 55362-8049 Ph: (919) 939-6303 | Samuel Gordon, 9346 Oak Ave, Waconia, MN 55387-9422 Ph: (952) 442-5812 |
Carli Halldorson, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 9346 Oak Ave, Waconia, MN 55387 Phone: 952-223-2506 | |
Sara Gotlieb Azorsky, MS, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 9346 Oak Ave, Waconia, MN 55387 Phone: 952-223-2506 | |
Cassidy Lee Schwinghammer, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 9346 Oak Ave, Waconia, MN 55387 Phone: 952-223-2506 | |
Meghan Borowski, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9346 Oak Ave, Waconia, MN 55387 Phone: 952-223-2506 | |
Eden Schwahn, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 9346 Oak Ave, Waconia, MN 55387 Phone: 952-223-2506 | |
Sabrina Stevens, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9346 Oak Ave, Waconia, MN 55387 Phone: 952-223-2506 | |
Mrs. Marissa Brianna Garvich, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1309 Oak Ave, Suite 210, Waconia, MN 55387 Phone: 952-223-2506 Fax: 952-443-2038 |