NPI 1013908946

Randall Clifford Nedegaard, PHD

Practitioner Clinical Psychologist Grand Forks Afb, ND

Practice location

Address: 1599 J St 319 Mdos/Sgoh, Grand Forks Afb, ND 58205-6306
Phone: (701) 747-7155
Fax: (701) 747-7340
Mailing address: 1520 March Dr, Grand Forks Afb, ND 58204-1231

Registered specialties (2)

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 1126 (KS)

Other Psychologist providers in North Dakota →

Clinical Social Worker

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 123-1858 (WI)

Other Social Worker providers in North Dakota →

Registry record

NPI: 1013908946
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Oct 2005
Record last updated: 13 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.