Randall Clifford Nedegaard in Grand Forks Afb - Clinical

Randall Clifford Nedegaard - NPI 1013908946

Randall Clifford Nedegaard is a Clinical in Grand Forks Afb, North Dakota. Randall Clifford Nedegaard practices all healthcare services and medical treatments related to Clinical. The NPI Number for Randall Clifford Nedegaard is 1013908946. The last update date is 2007-07-08.

Randall Clifford Nedegaard's current location address is 1599 J St, Grand Forks Afb, North Dakota. You can contact this provider via phone number 7017477155 and fax number 7017477340. The mailing address for Randall Clifford Nedegaard is 1599 J St, Grand Forks Afb, North Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Name Randall Clifford Nedegaard
Address 1599 J St, Grand Forks Afb, North Dakota
Phone Number 7017477155
Fax Number 7017477340
Sole Proprietor X
Credentials PH.D

NPI Number Detail

NPI Number 1013908946
Provider Enumeration Date 2005-10-31
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1599 J St
City Grand Forks Afb
State North Dakota (ND)
Post Code 582056306
Phone Number 7017477155
Fax Number 7017477340

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 1126
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

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FAQs about Randall Clifford Nedegaard

What is the unique 10-digit identification code assigned to Randall Clifford Nedegaard by the Centers for Medicare & Medicaid Services?

The Randall Clifford Nedegaard has been issued the NPI (National Provider Identifier) 1013908946, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Randall Clifford Nedegaard is physically located?

The Randall Clifford Nedegaard is situated at the following address: 1599 J St, Grand Forks Afb, ND 582056306.

What is Randall Clifford Nedegaard's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Randall Clifford Nedegaard is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.

On what date did the Centers for Medicare & Medicaid Services assign the 1013908946 to Randall Clifford Nedegaard?

The Centers for Medicare & Medicaid Services assigned the 1013908946 to Randall Clifford Nedegaard on 2005-10-31.

As of what date was the information pertaining to Randall Clifford Nedegaard, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Randall Clifford Nedegaard, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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