Krista Lyn Dettle, - Counselor in Lake Hiawatha, NJ

Krista Lyn Dettle, is a Counselor - Mental Health based in Lake Hiawatha, New Jersey. Krista Lyn Dettle is licensed to practice in New Jersey (license number 37AC00059600) and her current practice location is 38 Glenwood Ave, Lake Hiawatha, New Jersey. She can be reached at her office (for appointments etc.) via phone at (201) 787-6939.

NPI number for Krista Lyn Dettle is 1699099689 and her current mailing address is 38 Glenwood Ave, Lake Hiawatha, New Jersey. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1699099689.

Contact Information

Krista Lyn Dettle,
38 Glenwood Ave,
Lake Hiawatha, NJ 07034-1013
(201) 787-6939
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameKrista Lyn Dettle
GenderFemale
SpecialityCounselor - Mental Health
Location38 Glenwood Ave, Lake Hiawatha, New Jersey
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1699099689
  • Provider Enumeration Date: 03/18/2010
  • Last Update Date: 03/18/2010

Medical Identifiers

Medical identifiers for Krista Lyn Dettle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699099689NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 37AC00059600 (New Jersey)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Krista Lyn Dettle is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Krista Lyn Dettle,
38 Glenwood Ave,
Lake Hiawatha, NJ 07034-1013

Ph: (201) 787-6939
Krista Lyn Dettle,
38 Glenwood Ave,
Lake Hiawatha, NJ 07034-1013

Ph: (201) 787-6939

Reviews and Comments


Counselor in Lake Hiawatha, NJ

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Ms. Desiree Tempany, LPC
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Phone: 973-615-3712    Fax: 973-794-3492
Mr. Peter T Calderwood, MA, EDS, LPC, NCC
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