ELISSA LIGHT MS SLP CCC
NPI 1902099922
Speech-Language Pathologist in Plymouth, MN

Active since August 22, 2007
3025 HARBOR LN N, PLYMOUTH, MN 55447(612) 321-8957 Get Directions Write a Review

NPPES record last updated: September 10, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Elissa Light Ms Slp Ccc NPPES

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

ELISSA LIGHT MS SLP CCC (NPI 1902099922) is an individual speech-language pathologist provider in Plymouth, Minnesota, licensed in Minnesota (8434) and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1902099922
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameELISSA LIGHTCredential: MS SLP CCC
Location Address3025 HARBOR LN NPlymouth, MN 55447-5119
Mailing Address2700 Sylvan Rd SMinnetonka, MN 55305-2820 · (612) 600-1475
Sole ProprietorNo
Enumeration DateAugust 22, 2007
Last NPPES UpdateSeptember 10, 2022
NPPES CertifiedSeptember 10, 2022
NPI 1902099922 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
Licenses Licensed in MN · 8434 Licensed in MO · 2007019046
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.
3025 HARBOR LN N, Plymouth, MN 55447

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
3025 HARBOR LN N, SUITE 314
PLYMOUTH, MN 55447
Counselor (Professional)
3025 HARBOR LN N, #316
PLYMOUTH, MN 55447
Social Worker
3025 HARBOR LN N, SUITE 316
PLYMOUTH, MN 55447
Audiologist
3025 HARBOR LN N, SUITE 105
PLYMOUTH, MN 55447
Physical Therapist
3025 HARBOR LN N, SUITE 314
PLYMOUTH, MN 55447

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elissa Light's NPI number?

The NPI number for Elissa Light is 1902099922. It was assigned to this individual provider in the NPPES registry on August 22, 2007.

Where is Elissa Light located?

Elissa Light practices at 3025 Harbor Ln N, Plymouth, MN 55447. The listed phone number is (612) 321-8957.

What is Elissa Light's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Elissa Light was last updated on September 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.