Maribeth Blake, M.S.CCC-SLP
NPI 1164627006ActiveIndividual· Speech-Language Pathologist· Green Bay, WI
Speech-Language Pathologist (M.S.CCC-SLP) in Green Bay, Wisconsin, licensed in WI, with an NPI issued in June 2007.
Overview
| NPI | 1164627006 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.S.CCC-SLP |
| Sole proprietor | No |
| NPI issued | Jun 20, 2007 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 1043-154 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Speech-Language Pathologist providers in Green Bay
- 1821367442
- 1659019784
- 1609704667
- 1942475595
- 1457516064
- 1255269213
- 1306489752
- 1861787111
- 1679403364
- 1871421842
- 1518897818
- 1508039298