Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902099922 Individual Practitioner Female Practitioner

Elissa Light , MS SLP CCC

Speech-Language Pathologist • Plymouth, MN

Professional Overview & Biography Verified Profile Summary

Elissa Light, MS SLP CCC is a registered healthcare professional specializing in Speech-Language Pathologist in Plymouth, MN. Practice services are available at 3025 HARBOR LN N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3025 Harbor Ln N

Plymouth, MN 554475119

Telephone 6123218957
Associated Practice Facility / Clinic
🏢 Affinity Hearing, Llc Facility NPI 1528293180

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Plymouth, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
66 Specialists

Practicing in Plymouth, MN (3097 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-09-10
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License MN 8434

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.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

State License MO 2007019046

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
NPI 1063552891

Physical Therapist

Meagan Galbari , LPC

Counselor - Professional

NPI 1174811376

Licensed Professional Counselor

Kay Allen , LMFT

Marriage & Family Therapist

NPI 1265705412

Licensed Marriage and Family Therapist

NPI 1407293798

Licensed Independent Clinical Social Worker

Mark Bookhout , PT

Physical Therapist

NPI 1518041938

Physical Therapist

Craig Allen , LMFT

Marriage & Family Therapist

NPI 1801071782

Licensed Marriage and Family Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location September 10, 2022

Registered at 3025 HARBOR LN N, PLYMOUTH, MN 554475119 (Tel: 6123218957)

📍
Updated Business Mailing Address September 10, 2022

Registered at 2700 SYLVAN RD S, MINNETONKA, MN 553052820 (Tel: 6126001475)

👤
Provider Name / Credentials Updated September 10, 2022

Recorded as ELISSA LIGHT, MS SLP CCC

NPI Profile Active August 22, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location August 22, 2007

Registered at 3201 PARKWOOD LN, MARYLAND HEIGHTS, MO 630431334 (Tel: 3142915911)

📍
Updated Business Mailing Address August 22, 2007

Registered at 7533 PARKDALE AVE, APT 3E, CLAYTON, MO 631052857 (Tel: 5209905650)

👤
Provider Name / Credentials Updated August 22, 2007

Recorded as ELISSA RUBY, MS SLP CFY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2007

Speech-Language Pathologist (License #2007019046 in MO)

🟢
Initial NPI Registration & Enumeration August 22, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1902099922
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 22, 2007
Last Update: September 10, 2022
Sole Proprietor: No

Mailing Address

2700 Sylvan Rd S

Minnetonka, MN 553052820

Phone: 6126001475

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.