Elissa Light, MS SLP CCC
NPI 1902099922ActiveIndividual· Speech-Language Pathologist· Plymouth, MN
Speech-Language Pathologist (MS SLP CCC) in Plymouth, Minnesota, licensed in MN and MO, with an NPI issued in August 2007.
Overview
| NPI | 1902099922 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS SLP CCC |
| Sole proprietor | No |
| NPI issued | Aug 22, 2007 |
| Last updated in NPPES | Sep 10, 2022 |
| Certified by provider | Sep 10, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 8434 | MN |
| Speech-Language Pathologist | 235Z00000X | 2007019046 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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