Individual provider · Type 1 NPI

Randall Dean Wallace, M.S.

Psychologist · Cambridge, MN

NPI number 1689768707 Active

Practice location

133 2nd Ave SW
Cambridge, MN 55008-1552

Call (763) 689-9407 Map

Fax (763) 552-0164

Mailing address

199 Coon Rapids Blvd NW, Suite 306
Coon Rapids, MN 55433-5831

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XLP0683 (MN)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1689768707

Randall Dean Wallace, M.S.'s National Provider Identifier is 1689768707, issued on Oct 3, 2006. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Cambridge, MN. The record was last updated on Jul 8, 2007.