Individual provider · Type 1 NPI

Randall Clifford Nedegaard, PhD

Clinical Psychologist · Grand Forks Afb, ND

NPI number 1013908946 Active

Practice location

1599 J St, 319 Mdos/sgoh
Grand Forks Afb, ND 58205-6306

Call (701) 747-7155 Map

Fax (701) 747-7340

Mailing address

1520 March Dr
Grand Forks Afb, ND 58204-1231

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X1126 (KS)
Clinical Social Worker 1041C0700X123-1858 (WI)

Clinical Psychologist: 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 breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1013908946

Randall Clifford Nedegaard, PhD's National Provider Identifier is 1013908946, issued on Oct 31, 2005. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Grand Forks Afb, ND. The record was last updated on Jul 13, 2026.