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General NPI Number Information
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NPI Number | 1780168765
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Entity Type | Individual
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Provider Name | COURTNEY MCALISTER PHD
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Gender | Female
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Dates
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Enumeration Date | 09/17/2018
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 212 11TH ST S
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City | LA CROSSE
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State | WI
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Zip | 54601-4397
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Country | US
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Telephone | 318-730-6098
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Fax |
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Provider Business Mailing Address
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Address Line | 200 1ST ST SW
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City | ROCHESTER
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State | MN
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Zip | 55905-0002
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Country | US
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Telephone | 608-785-0940
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 3600-57
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 3600-57
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 3600
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License Number State | WI
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