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

Elissa Light, MSSLPCCC

Individual provider Speech-Language Pathologist · NPI 1902099922

Elissa Light, MSSLPCCC is a Speech-Language Pathologist in Plymouth, Minnesota. Licensed in Minnesota and Missouri. Registered with an NPI since 2007.

Licensed in
MN, MO
In the registry since
2007
Specialties on file
2

Practice location Address checks out

3025 Harbor Ln N
Plymouth, MN 55447-5119
Phone: (612) 321-8957
Show map & directions

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 8434 (MN)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 2007019046 (MO)

Record details

NPI number1902099922
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSSLPCCC
Sole proprietorNo
NPI enumeratedAugust 22, 2007
Last updated in NPPESSeptember 10, 2022
Certification dateSeptember 10, 2022
Mailing address2700 Sylvan Rd S, Minnetonka, MN 55305-2820

Other providers in Plymouth