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Active NPI 1699978577 Individual Practitioner Female Practitioner

Mary Beth Thiele , MS, CCC-SLP

Speech-Language Pathologist • Manitowoc, WI

Professional Overview & Biography Verified Profile Summary

Mary Beth Thiele, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Manitowoc, WI. Practice services are available at 1235 S 24TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1235 S 24th St

Manitowoc, WI 542205516

Telephone 9206828254
Associated Practice Facility / Clinic
🏢 Shady Lane Home, Inc. Facility NPI 1518926211

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Manitowoc, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.3 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
33 Specialists

Practicing in Manitowoc, WI (3821 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License WI 2876-154

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. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Amy Summers , OTR

Occupational Therapist

NPI 1073733762

Occupational Therapist Registered

Hailey Hageness , MSOT, OTR, L

Occupational Therapist

NPI 1194043885

MSOT, Occupational Therapist Registered, L

Mark Wollum , PT

Physical Therapist

NPI 1275745614

Physical Therapist

Lori Bonin , PT

Physical Therapist

NPI 1679895197

Physical Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1235 S 24TH ST, MANITOWOC, WI 542205516 (Tel: 9206828254)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1530 S 30TH ST APT 8, MANITOWOC, WI 542205955 (Tel: 9202070333)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MARY BETH THIELE, M.S., CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Speech-Language Pathologist (License #2876-154 in WI)

🟢
Initial NPI Registration & Enumeration June 07, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699978577
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 07, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

1530 S 30th St Apt 8

Manitowoc, WI 542205955

Phone: 9202070333

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.