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MARIBETH BLAKE M.S.CCC-SLP
NPI 1164627006
Speech-Language Pathologist in Green Bay, WI

Active since June 20, 2007
2801 S WEBSTER AVE, GREEN BAY, WI 54301(920) 337-1122 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Maribeth Blake M.s.ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIBETH BLAKE M.S.CCC-SLP (NPI 1164627006) is an individual speech-language pathologist provider in Green Bay, Wisconsin, licensed in Wisconsin (1043-154) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1164627006
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMARIBETH BLAKECredential: M.S.CCC-SLP
Location Address2801 S WEBSTER AVEGreen Bay, WI 54301-2878
Mailing Address1527 Gjerpen LnManitowoc, WI 54220-9765
Phone(920) 337-1122
Sole ProprietorNo
Enumeration DateJune 20, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1164627006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in WI · 1043-154
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.
2801 S WEBSTER AVE, Green Bay, WI 54301
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Other Identifiers 2

Medicaid42717700WI
Other1043-154WI · State License

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BETTY MARIE SPEAR PTA
Physical Therapy Assistant
2801 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 403-7665
MRS. LYNN MARY JADIN O.T.R.
Occupational Therapist
2801 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 337-1122
LISA ANN OLSON MS CCC-SLP
Speech-Language Pathologist
2801 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 337-1122
TANYA ANN VINCENT
Speech-Language Pathologist
2801 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 337-1122
MS. PATRICIA KAY STEGEMAN-FRANK PT
Physical Therapist (Pediatrics)
2801 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 337-1122
MARY P GANTZ PT
Physical Therapist
2801 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 337-1122
EMILY K BIRENBAUM PT
Physical Therapist
2801 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 337-1122
NOELLE ZIEREIS
Occupational Therapist (Pediatrics)
2801 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 337-1122

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maribeth Blake's NPI number?

The NPI number for Maribeth Blake is 1164627006. It was assigned to this individual provider in the NPPES registry on June 20, 2007.

Where is Maribeth Blake located?

Maribeth Blake practices at 2801 S Webster Ave, Green Bay, WI 54301. The listed phone number is (920) 337-1122.

What is Maribeth Blake's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Maribeth Blake was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.