Light, Elissa
Light, Elissa is an individual health care provider with primary practice located at 3025 Harbor Ln N , Plymouth MN 55447-5119. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Light, Elissa can be contacted via phone (612) 321-8957.Contact Information
Primary practice address
3025 Harbor Ln N
Plymouth MN 55447-5119
Phone: (612) 321-8957
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 2007019046 | Missouri |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 8434 | Minnesota |
Profile Details
| NPI number | 1902099922 |
|---|---|
| LBN Legal business name | Light, Elissa |
| Credentials | MS SLP CCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2007 |
| Last updated | Sep 10th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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