Krista L Dettle
Counselor, Mental Health in Lake Hiawatha, New Jersey
1699099689- Practice location
- 38 Glenwood Ave, Lake Hiawatha, NJ 07034-1013
- Phone
- 201-787-6939
- Fax
- —
- Last updated
- March 18, 2010
Krista Lyn Dettle is a Counselor, Mental Health based in Lake Hiawatha, NJ. Krista Lyn Dettle practices in Lake Hiawatha, NJ. The NPI Number for Krista Lyn Dettle is 1699099689 and holds a License No. 37AC00059600 (NJ). The current practice location address for Krista Lyn Dettle is 38 Glenwood Ave, Lake Hiawatha, NJ 07034-1013 and can be reached out via phone at 201-787-6939.
Provider Profile Details
- NPI Number
- 1699099689
- Provider Name
- Krista Lyn Dettle
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 38 Glenwood Ave, Lake Hiawatha, NJ 07034-1013
- Phone Number
- 201-787-6939
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 18, 2010
- Last Update Date
- March 18, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 38 Glenwood Ave
Lake Hiawatha, NJ 07034-1013 - City
- Lake Hiawatha
- State
- New Jersey
- Zip
- 07034-1013
- Phone Number
- 201-787-6939
Provider Business Mailing Address Details
- Address
- 38 Glenwood Ave
Lake Hiawatha, NJ 07034-1013 - City
- Lake Hiawatha
- State
- NJ
- Zip
- 07034-1013
- Phone Number
- 201-787-6939
License Information
- License Number
- 37AC00059600
- License State
- NJ
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Krista L Dettle?
The NPI number of Krista L Dettle is 1699099689. It was assigned on March 18, 2010 and is currently active in the NPPES registry.
What is the specialty of Krista L Dettle?
Krista L Dettle is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37AC00059600.
Where does Krista L Dettle practice?
The practice location is 38 Glenwood Ave, Lake Hiawatha, NJ 07034-1013. The office can be reached at 201-787-6939 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1699099689 directly on the NPPES registry website.