Mary Beth Thiele M.S., CCC-SLP

NPI 1699978577 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1699978577
Gender Female
Enumeration Date 06/07/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1235 S 24TH ST
MANITOWOC WI, 54220-5516, US
Phone (920) 682-8254
Business Location
1530 S 30TH ST APT 8
MANITOWOC WI, 54220-5955, US
Phone (920) 207-0333
Taxonomy Code 235Z00000X
License State Wisconsin
License Number 2876-154
Remove 1699978577 NPI Number

According to our database, Ms. Mary Beth Thiele M.S., CCC-SLP NPI is 1699978577, taxonomy code is 235Z00000X and license number is 2876-154, license state is located at Wisconsin. Mary Beth Thiele M.S., CCC-SLP physically located at 1235 S 24th St, Manitowoc WI, 54220-5516. NPI Number Mary Beth Thiele M.S., CCC-SLP has the Individual type.

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1699978577 NPI number is provided on an as is basis without warranty of any kind. 1699978577 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Beth Thiele M.S., CCC-SLP are for informational purposes only.