| Lily Dettle, | |
|
311 Winn Ct, Deforest, WI 53532-3011 | |
| (715) 520-3634 | |
| Not Available |
| Full Name | Lily Dettle |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 311 Winn Ct, Deforest, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881189124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 4671-154 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lily Dettle, 311 Winn Ct, Deforest, WI 53532-3011 Ph: (715) 520-3634 | Lily Dettle, 311 Winn Ct, Deforest, WI 53532-3011 Ph: (715) 520-3634 |
Carmen Krug, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 300 Cheyenne Ct, Deforest, WI 53532 Phone: 608-516-3702 | |
Valerie Sherwood, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6902 Parkside Cir, Deforest, WI 53532 Phone: 608-846-2101 | |
Tara Dahlke, BS, MA, MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 217 Pocahontas Ln, Deforest, WI 53532 Phone: 715-529-7736 | |
Joyce Dong, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6902 Parkside Cir, Deforest, WI 53532 Phone: 608-846-2101 |