MRS. MARY K LIETHEN (NPI# 1609381672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609381672 |
| Entity Type | Individual |
| Full Name | MRS. MARY K LIETHEN |
| Credential | M.S., CCC-SLP/L |
| Practice Address |
3223 Il Route 176 Crystal Lake IL 60014-2145 |
| Mailing Address |
901 Pin Oak Cir Cary IL 60013-1672 |
| Practice Telephone | 8154593023 |
| Practice Fax Number | 8153560519 |
| Mailing Telephone | (815) 459-3023 |
| Mailing Fax Number | 8153560519 |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2017-12-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 12027407 | IL | Speech, Language and Hearing Service Providers |
| Street Address |
3223 IL ROUTE 176 |
| City | CRYSTAL LAKE |
| State | IL |
| Zip Code | 60014-2145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386104743 | Kristin Cline | Speech-Language Pathologist | 3223 Il Route 176, Crystal Lake, IL 60014 | 2019-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497394720 | Lorelei Mariano | Physical Therapist | 350 E Congress Parkway Ste A, Crystal Lake, IL 60014 | 2020-01-03 |
| 1396227070 | Behavioral Services for Autism, Inc | Behavioral Analyst | 1095 Pingree Road, Suite 204, Crystal Lake, IL 60014 | 2018-08-30 |
| 1831635564 | Isis Mendoza-garnica | Counselor | 6803 Rose Ave, Crystal Lake, IL 60014 | 2017-01-19 |
| 1134664402 | Derick Dermatology, LLC | Non-Pharmacy Dispensing Site | 525 E Congress Parkway, Suite 200, Crystal Lake, IL 60014 | 2016-12-22 |
| 1306394051 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 177 W Virginia Street, Crystal Lake, IL 60014 | 2016-09-12 |
| 1124492830 | Align Spine & Orthopaedics | Durable Medical Equipment & Medical Supplies | 60 B West Terra Cotta Ave, #265, Crystal Lake, IL 60014 | 2015-11-18 |
| 1558747428 | Shabana Nawaz | Optometrist | 4777 Northwest Highway, Crystal Lake, IL 60014 | 2015-08-03 |
| 1548649205 | Daniel Okon | Social Worker | 304 Charllote Ave, Crystal Lake, IL 60014 | 2015-05-27 |
| 1154729838 | Crystal Lake Center for Chronic Pain Sc | Nurse Practitioner | 1 South Northwest Highway, Crystal Lake, IL 60014 | 2014-12-12 |
| 1558763581 | Brooke Nicole Grandt | Occupational Therapist | 394 Heisler Ct, Crystal Lake, IL 60014 | 2014-09-22 |
| Find all providers in zip 60014 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| 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. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609335694 | Lauren Boncosky | Speech-Language Pathologist | 3415 Deep Wood Dr, Crystal Lake, IL 60012-1024 | 2019-03-18 |
| 1609345420 | Alexandra Komar | Speech-Language Pathologist | 1095 Pingree Rd Ste 209, Crystal Lake, IL 60014-1727 | 2018-11-21 |
| 1063902831 | Cindy Lynn Brackett | Speech-Language Pathologist | 3906 Tecoma Dr, Crystal Lake, IL 60012-2305 | 2018-05-16 |
| 1013411669 | Diana Smithana | Speech-Language Pathologist | 1451 Magnolia Dr, Crystal Lake, IL 60014-1983 | 2018-03-20 |
| 1467951905 | Kaitlin Thompson | Speech-Language Pathologist | 765 Coventry Ln, Crystal Lake, IL 60014-7611 | 2018-02-11 |
| 1124533088 | Meredith Hensel | Speech-Language Pathologist | 300 Commerce Dr, Crystal Lake, IL 60014-3503 | 2017-12-13 |
| 1508378043 | Katharine Love | Speech-Language Pathologist | 6000 Dvorak Dr, Crystal Lake, IL 60012-3514 | 2017-10-24 |
| 1841716297 | Kaitlin Turk | Speech-Language Pathologist | 390 E. Congress Parkway, Unit A, Crystal Lake, IL 60014-6202 | 2017-08-17 |
| 1609297704 | Melissa Andrews-salvia | Speech-Language Pathologist | 983 Nottingham Ln, Crystal Lake, IL 60014-7641 | 2013-12-17 |
| 1689006108 | Jami Lynne Finch-derro | Speech-Language Pathologist | 1799 Andover Ln, Crystal Lake, IL 60014-2965 | 2013-08-07 |
| Find all providers in CRYSTAL LAKE | ||||
| City | CRYSTAL LAKE |
| Zip Code | 60014 |
Please comment or provide details below to improve the information on MRS. MARY K LIETHEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.