MYLES TONNACLIFF PH.D LLC NPI 1235666017

NPI Information

  • NPI: 1235666017
  • Provider Name: MYLES TONNACLIFF PH.D, LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: W62N248 WASHINGTON AVE
    SUITE 208
    CEDARBURG, WI
    ZIP 53012
  • Phone: (262) 618-2856

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NPI Details

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)2163-57WISCONSINYes

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: 3/30/2025

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