Myles Tonnacliff Ph.d, LLC

NPI #1235666017 in Cedarburg, Wisconsin

Provider Information

NPI Number: 1235666017
Entity Type: Organization
Organization Name: Myles Tonnacliff Ph.d, LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: May 11, 2017
Last Updated: May 11, 2017

Practice Location

Address: W62N248 WASHINGTON AVE
Address 2: SUITE 208
City: Cedarburg
State: Wisconsin
ZIP Code: 53012-2768
Phone: (262) 618-2856

Authorized Official

Name: MYLES D TONNACLIFF, LP
Title: LICESED PSYCHOLOGIST- OWNER
Phone: (262) 618-2856

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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