Healthcare Provider Details

I. General information

NPI: 1275437667
Provider Name (Legal Business Name): PAUL DANIEL MCALLISTER JR.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: PJ MCALLISTER ED.S.

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4631 HICKORY WOODS LN
MASON OH
45040-4517
US

IV. Provider business mailing address

4631 HICKORY WOODS LN
MASON OH
45040-4517
US

V. Phone/Fax

Practice location:
  • Phone: 513-398-3741
  • Fax:
Mailing address:
  • Phone: 513-398-3741
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberLSP.03297
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: