TETZLAFF & MYHRE PSYCHOTHERAPY AND ASSESSMENTS LLC NPI 1477151439

NPI Information

NPI: 1477151439
Provider Name: TETZLAFF & MYHRE PSYCHOTHERAPY AND ASSESSMENTS, LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
N55W37178 ROLAND ST
OCONOMOWOC, WI
ZIP 53066
Phone: (262) 719-2975
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TETZLAFF & MYHRE PSYCHOTHERAPY AND ASSESSMENTS, LLC is a mental health (including community mental health center) clinic center in Oconomowoc, WI. TETZLAFF & MYHRE PSYCHOTHERAPY AND ASSESSMENTS, LLC NPI is 1477151439. The provider is registered as an organization entity type.

The provider's business location address is:

N55W37178 ROLAND ST
OCONOMOWOC, WI
ZIP 53066-321
Phone: (262) 719-2975

The provider's authorized official is Brandie L Tetzlaff .
The authorized official title is Psychotherapist/owner and has the following contact phone number (262) 719-2975.

The enumeration date for this NPI number is 10/13/2020 and was last updated on 10/13/2020.

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)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	43743800	MEDICAID	WISCONSIN

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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