Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Mary Beth Thiele, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1699978577

MS. Mary Beth Thiele, MS, CCC-SLP is a Speech-Language Pathologist in Manitowoc, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2007
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

1235 S 24th St
Manitowoc, WI 54220-5516
Phone: (920) 682-8254
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 2876-154 (WI)

Record details

NPI number1699978577
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorYes
NPI enumeratedJune 7, 2007
Last updated in NPPESJuly 8, 2007

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