Healthcare Provider Details

I. General information

NPI: 1538470265
Provider Name (Legal Business Name): ELISE CHRISTINE KIGHT M.S.CF-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ELISE CHRISTINE MERCIER B.A.E.D.

II. Dates (important events)

Enumeration Date: 06/28/2010
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 EAST ST S
SUFFIELD CT
06078-2414
US

IV. Provider business mailing address

44 EAST ST S
SUFFIELD CT
06078-2414
US

V. Phone/Fax

Practice location:
  • Phone: 518-935-3743
  • Fax:
Mailing address:
  • Phone: 518-935-3743
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number8389
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: