Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Maribeth Blake, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1164627006

Maribeth Blake, MSCCC-SLP is a Speech-Language Pathologist in Green Bay, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007

Practice location Address checks out

2801 S Webster Ave
Green Bay, WI 54301-2878
Phone: (920) 337-1122
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 1043-154 (WI)

Record details

NPI number1164627006
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorNo
NPI enumeratedJune 20, 2007
Last updated in NPPESJuly 8, 2007
Mailing address1527 Gjerpen Ln, Manitowoc, WI 54220-9765

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