Provider Demographics
NPI:1275421976
Name:HENN, CHLOE SOPHIA
Entity type:Individual
Prefix:
First Name:CHLOE
Middle Name:SOPHIA
Last Name:HENN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8768 S CASTLE CT
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:WI
Mailing Address - Zip Code:53132-8527
Mailing Address - Country:US
Mailing Address - Phone:414-324-2228
Mailing Address - Fax:
Practice Address - Street 1:6125 GREEN BAY RD STE 800
Practice Address - Street 2:
Practice Address - City:KENOSHA
Practice Address - State:WI
Practice Address - Zip Code:53142-2982
Practice Address - Country:US
Practice Address - Phone:262-764-4075
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-24
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI7013154235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty