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General NPI Number Information
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NPI Number | 1194658419
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Entity Type | Individual
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Provider Name | COURTNEY LYNN NORRIS PHD
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Gender | Female
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Dates
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Enumeration Date | 06/05/2026
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Last Update Date | 06/05/2026
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Provider Practice Location Address
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Address Line | 319 E MADISON ST
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City | SPRINGFIELD
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State | IL
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Zip | 62701-1035
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Country | US
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Telephone | 217-545-1346
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Fax |
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Provider Business Mailing Address
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Address Line | 3133 LOCHRIDGE LN
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City | SPRINGFIELD
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State | IL
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Zip | 62704-1019
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 071.022698
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License Number State | IL
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