Dettle, Krista Lyn

Dettle, Krista Lyn is an individual health care provider with primary practice located at 38 Glenwood Ave , Lake Hiawatha NJ 07034-1013. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Dettle, Krista Lyn can be contacted via phone (201) 787-6939.

Contact Information

Primary practice address
38 Glenwood Ave Lake Hiawatha NJ 07034-1013
Phone: (201) 787-6939
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 37AC00059600 New Jersey

Profile Details

NPI number 1699099689
LBN Legal business name Dettle, Krista Lyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2010
Last updated Mar 18th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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