KELLY C GORDER MS, SLP-CCC
NPI 1508752171
Speech-Language Pathologist in Otsego, MN

Active since June 17, 2025
16940 56TH CT NE, OTSEGO, MN 55374(763) 300-1862 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kelly C Gorder Ms, Slp-ccc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY C GORDER MS, SLP-CCC (NPI 1508752171) is an individual speech-language pathologist provider in Otsego, Minnesota, licensed in Minnesota (12080263) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1508752171
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKELLY C GORDERCredential: MS, SLP-CCC
Location Address16940 56TH CT NEOtsego, MN 55374-5303
Mailing Address16940 56th Ct NeOtsego, MN 55374-5303 · (763) 300-1862
Sole ProprietorYes
Enumeration DateJune 17, 2025
NPPES CertifiedJune 17, 2025
NPI 1508752171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in MN · 12080263
Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

16940 56TH CT NE, Otsego, MN 55374

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508752171, enumerated as an "individual" on June 17, 2025.

The provider is located at 16940 56TH CT NE OTSEGO, MN 55374 and the phone number is (763) 300-1862.

Speech-Language Pathologist with taxonomy code 235Z00000X.