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Maribeth Blake, MSCCC-SLP
Speech-Language Pathologist in Green Bay, Wisconsin
NPI 1164627006

Maribeth Blake is a Speech-Language Pathologist based in Manitowoc, WI. Maribeth Blake practices in Green Bay, WI and has the professional credentials of MSCCC-SLP. The NPI Number for Maribeth Blake is 1164627006 and holds a License No. 1043-154 (Wisconsin).

The current practice location address for Maribeth Blake is 2801 S Webster Ave, Green Bay, WI and can be reached out via phone at 920-337-1122. You can also correspond with Maribeth Blake through the mailing address at 1527 GJERPEN LN, MANITOWOC, WI - 54220-9765 (mailing address contact number: ).

Location: 2801 S Webster Ave, Green Bay, WI, 54220-9765
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164627006
Provider Name
Maribeth Blake
Credential
MSCCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
2801 S Webster Ave, Green Bay, WI, 54220-9765
Phone Number
920-337-1122
Fax Number
Provider Enumeration Date
06/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1043-154 01 WI STATE LICENSE
42717700 05 WI
institution
Provider Business Practice Location Address Details
Address
2801 S Webster Ave
City
Green Bay
State
Wisconsin
Zip
54301-2878
Phone Number
920-337-1122
Fax Number
person
Provider Business Mailing Address Details
Address
2801 S Webster Ave
City
Green Bay
State
Wisconsin
Zip
54301-2878
Phone Number
920-337-1122
Fax Number
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Speech-Language Pathologist
Speciality
-
Taxonomy
235Z00000X
License No.
1043-154 (Wisconsin)
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
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