Healthcare Provider Details

I. General information

NPI: 1962366377
Provider Name (Legal Business Name): CHLOE HESS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3709 NEBRASKA AVE
SAINT LOUIS MO
63118-3709
US

IV. Provider business mailing address

543 N VIRGINIA AVE
EUREKA MO
63025-1115
US

V. Phone/Fax

Practice location:
  • Phone: 314-771-3533
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number2024045973
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: