Healthcare Provider Details

I. General information

NPI: 1790263804
Provider Name (Legal Business Name): KATE HENNIGES EMME SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATE L HENNIGES SLP

II. Dates (important events)

Enumeration Date: 07/31/2018
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1160 KEPLER DR
GREEN BAY WI
54311-8321
US

IV. Provider business mailing address

PO BOX 735044
CHICAGO IL
60673-5044
US

V. Phone/Fax

Practice location:
  • Phone: 920-288-8100
  • Fax:
Mailing address:
  • Phone: 800-326-2250
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number4273-154
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: