MYLES TONNACLIFF PH.D LLC NPI 1235666017

NPI Information

NPI: 1235666017
Provider Name: MYLES TONNACLIFF PH.D, LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
W62N248 WASHINGTON AVE
SUITE 208
CEDARBURG, WI
ZIP 53012
Phone: (262) 618-2856
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MYLES TONNACLIFF PH.D, LLC is a mental health (including community mental health center) clinic center in Cedarburg, WI. MYLES TONNACLIFF PH.D, LLC NPI is 1235666017. The provider is registered as an organization entity type.

The provider's business location address is:

W62N248 WASHINGTON AVE
SUITE 208
CEDARBURG, WI
ZIP 53012-768
Phone: (262) 618-2856

The provider's authorized official is Myles D Tonnacliff .
The authorized official title is Licesed Psychologist- Owner and has the following contact phone number (262) 618-2856.

The enumeration date for this NPI number is 5/11/2017 and was last updated on 5/11/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	2163-57	WISCONSIN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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