Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELISSA LIGHT, MS SLP CCC
ActiveELISSA LIGHT, MS SLP CCC is a Speech, Language and Hearing Specialist healthcare provider located in PLYMOUTH, Minnesota. NPI 1902099922 is currently active in the NPPES registry. Verify at CMS.
Speech, Language and Hearing Specialist · PLYMOUTH, MN
Registration Details
- NPI Number
- 1902099922
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 22, 2007 (18.978446814769 yrs)
- Last Updated
- Sep 10, 2022
- Licenses
-
2007019046 (MO)8434 (MN)
Practice Information
- Address
-
3025 HARBOR LN NPLYMOUTH, MN, 554475119Browse MN providers · Browse ZIP 55447
- Phone
- 6123218957
- Primary Specialty
-
Speech, Language and Hearing Specialist
235Z00000X
- Additional Specialty
- Speech, Language and Hearing Specialist
Other Speech, Language and Hearing Specialist Providers in PLYMOUTH, MN
| Name | Credential | NPI |
|---|---|---|
| KAYE M BAUMGARDNER | MS CCC-SLP, COM, CLC | 1437129806 |
| MRS. MARY ELIZABETH HAGEN | MA/CCC SLP | 1629014378 |
| MRS. KIMBERLY LYNN HERMAN | M.A., CCC-SLP | 1578679742 |
| JULIE K ERNEST | CCC-SLP | 1821187485 |
| AMY LYNN HOLSTEN | M.S. CCC-SLP | 1700946944 |
| TRACI A SMALLWOOD | MA CCC SLP | 1609099647 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.