Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RANDALL CLIFFORD NEDEGAARD, PH.D
ActiveDR. RANDALL CLIFFORD NEDEGAARD, PH.D is a Clinical Psychologist healthcare provider located in GRAND FORKS AFB, North Dakota. NPI 1013908946 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · GRAND FORKS AFB, ND
Registration Details
- NPI Number
- 1013908946
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 31, 2005 (20.744040326715 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
1126 (KS)123-1858 (WI)
Practice Information
- Address
-
1599 J ST319 MDOS/SGOHGRAND FORKS AFB, ND, 582056306Browse ND providers · Browse ZIP 58205
- Phone
- 7017477155
- Fax
- 7017477340
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Psychologist Providers in GRAND FORKS AFB, ND
| Name | Credential | NPI |
|---|---|---|
| DR. EVE MARIE HOLTON | PH.D. | 1548349616 |
| DR. ALEKSANDRA WANTKE | PSYD | 1275926172 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.