DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. SHANE LIETCH

Active Sole Proprietor

Peer Specialist · EDMOND, OK

Registration Details

NPI Number
1295276731
Provider Type
Individual
Gender
Male
NPI Issued
Mar 16, 2017 (9.1003966174227 yrs)
Last Updated
Apr 18, 2022
Sole Proprietor
Yes

Practice Information

Address
609 ROLLING HILLS TER
EDMOND, OK, 730126611
Browse OK providers · Browse ZIP 73012
Phone
4055882356
Primary Specialty
Peer Specialist
175T00000X
Additional Specialty
Peer Specialist

Other Peer Specialist Providers in EDMOND, OK

Name Credential NPI
CHERYL GRACE M.S. CCC-SLP 1013159615
MRS. MARY HARTFIELD 1518215581
TARA RODGERS 1245604560
GEORGE FREDRICK SHAFER JR. 1700399714
JENNIFER LYNN HUNT 1215441548
WILL RODGERS JAKES I 1497269435
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.