Individual provider · Type 1 NPI

Maribeth Blake, M.S.CCC-SLP

Speech-Language Pathologist · Green Bay, WI

NPI number 1164627006 Active

Practice location

2801 S Webster Ave
Green Bay, WI 54301-2878

Call (920) 337-1122 Map

Mailing address

1527 Gjerpen Ln
Manitowoc, WI 54220-9765

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X1043-154 (WI)

Speech-Language Pathologist: 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, resonan…

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About NPI 1164627006

Maribeth Blake, M.S.CCC-SLP's National Provider Identifier is 1164627006, issued on Jun 20, 2007. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Green Bay, WI. The record was last updated on Jul 8, 2007.