Provider Demographics
NPI:1336791490
Name:HENNINGFELD, CASANDRA (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:CASANDRA
Middle Name:
Last Name:HENNINGFELD
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:CASANDRA
Other - Middle Name:
Other - Last Name:SUHLING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8503 QUEENSBURY LN
Mailing Address - Street 2:
Mailing Address - City:STURTEVANT
Mailing Address - State:WI
Mailing Address - Zip Code:53177-2959
Mailing Address - Country:US
Mailing Address - Phone:262-206-6097
Mailing Address - Fax:
Practice Address - Street 1:9651 PRAIRIE RIDGE BLVD
Practice Address - Street 2:
Practice Address - City:PLEASANT PRAIRIE
Practice Address - State:WI
Practice Address - Zip Code:53158-1948
Practice Address - Country:US
Practice Address - Phone:262-333-8158
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-09
Last Update Date:2019-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist