Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RANDALL DEAN WALLACE, M.S.
ActiveMR. RANDALL DEAN WALLACE, M.S. is a Psychologist healthcare provider located in CAMBRIDGE, Minnesota. NPI 1689768707 is currently active in the NPPES registry. Verify at CMS.
Psychologist · CAMBRIDGE, MN
Registration Details
- NPI Number
- 1689768707
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 3, 2006 (19.680192379946 yrs)
- Last Updated
- Jul 8, 2007
- License
-
LP0683 (MN)
Practice Information
- Address
-
133 2ND AVE SWCAMBRIDGE, MN, 550081552Browse MN providers · Browse ZIP 55008
- Phone
- 7636899407
- Fax
- 7635520164
- Primary Specialty
-
Psychologist
103T00000X
Other Psychologist Providers in CAMBRIDGE, MN
| Name | Credential | NPI |
|---|---|---|
| BRYAN D BARTELS | PHD,LP | 1518919158 |
| MARCELLA LOUISE STOECKEL | M.A. | 1396825089 |
| DR. ROBERT STEWART LININGER | PH.D. | 1851462907 |
| KEVYN DEWAYNE ZIEMANN | L.P. | 1144392481 |
| DR. MICHAEL PETER KELLER | LP | 1093855488 |
| ALAINA F EVERITT | PHD | 1295053338 |
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.