IndividualActive
Annie Lietz
NPI 1649948712 · Speech-Language Pathologist · Hoyleton, IL
Provider details
- NPI number
- 1649948712
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
22741 Sassafras Rd
Hoyleton, IL 62803-1324
Phone: (618) 322-6879
Approximate (ZIP-level) locationGet directions
Mailing address
22741 Sassafras Rd
Hoyleton, IL 62803-1324
Additional practice locations (1)
- 2122 Troy Rd Ste 120Edwardsville, IL 62025-2540Phone: (618) 800-4620
Registry dates
- Enumerated
- 2021-09-02
- Last updated
- 2022-02-07
- Certified
- 2022-02-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.