Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Randall Dean Wallace, MS

Individual provider Psychologist · NPI 1689768707

Mr. Randall Dean Wallace, MS is a Psychologist in Cambridge, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

133 2nd Ave SW
Cambridge, MN 55008-1552
Phone: (763) 689-9407
Fax: (763) 552-0164
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence LP0683 (MN)

Record details

NPI number1689768707
Entity typeIndividual (Type 1)
GenderMale
Credentials MS
Sole proprietorNo
NPI enumeratedOctober 3, 2006
Last updated in NPPESJuly 8, 2007
Mailing address199 Coon Rapids Blvd Nw, Suite 306, Coon Rapids, MN 55433-5831

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