Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LILY DETTLE
Active Sole ProprietorLILY DETTLE is a Speech, Language and Hearing Specialist healthcare provider located in DEFOREST, Wisconsin. NPI 1881189124 is currently active in the NPPES registry. Verify at CMS.
Speech, Language and Hearing Specialist · DEFOREST, WI
Registration Details
- NPI Number
- 1881189124
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 28, 2018 (8.1319105398137 yrs)
- Last Updated
- Jun 28, 2018
- License
-
4671-154 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
311 WINN CTDEFOREST, WI, 535323011Browse WI providers · Browse ZIP 53532
- Phone
- 7155203634
- Primary Specialty
-
Speech, Language and Hearing Specialist
235Z00000X
Other Speech, Language and Hearing Specialist Providers in DEFOREST, WI
| Name | Credential | NPI |
|---|---|---|
| CARMEN KRUG | SLP | 1407428121 |
| JOYCE DONG | — | 1972208056 |
| TARA DAHLKE | BS, MA, MS | 1801671482 |
| MACEY ELIZABETH MOSER | M.S | 1659237303 |
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.