Maribeth Blake in Green Bay - Speech-language Pathologist
Maribeth Blake - NPI 1164627006
Maribeth Blake is a Speech-language Pathologist in Green Bay, Wisconsin. Maribeth Blake practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Maribeth Blake is 1164627006. The last update date is 2007-07-08.
Maribeth Blake's current location address is 2801 S Webster Ave, Green Bay, Wisconsin. You can contact this provider via phone number 9203371122. The mailing address for Maribeth Blake is 2801 S Webster Ave, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Maribeth Blake |
|---|---|
| Address | 2801 S Webster Ave, Green Bay, Wisconsin |
| Phone Number | 9203371122 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.S.CCC-SL |
NPI Number Detail
| NPI Number | 1164627006 |
|---|---|
| Provider Enumeration Date | 2007-06-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2801 S Webster Ave |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543012878 |
| Phone Number | 9203371122 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 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. Spe |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1043-154 | WI | STATE LICENSE | |
| 42717700 | WI | -- |
Post Comment/ Review Below
What is the Maribeth Blake's unique identification number?
The Maribeth Blake has been assigned the NPI (National Provider Identifier) Number 1164627006 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Maribeth Blake?
The Maribeth Blake is situated at 2801 S Webster Ave, in the city of Green Bay, state of WI, with the zip code 543012878.
What is Maribeth Blake's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Maribeth Blake is Speech-language Pathologist, and the corresponding taxonomy classification code for this specialized field is 235Z00000X.
On what date did the Maribeth Blake receive its 1164627006 assignment from the Centers for Medicare & Medicaid Services?
The Maribeth Blake was assigned its 1164627006 by the Centers for Medicare & Medicaid Services on 2007-06-20.
As of what date was the information regarding Maribeth Blake, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Maribeth Blake, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1245233493
Address: 108 W Market St, Bloomington, IL