| Dr Thomas Randall Clark, PHD | |
|
2116 4th Ave Nw, Minot, ND 58703-2967 | |
| (701) 838-2442 | |
| (701) 839-1193 |
| Full Name | Dr Thomas Randall Clark |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 2116 4th Ave Nw, Minot, North Dakota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700833266 | NPI | - | NPPES |
| 17462 | Medicaid | ND | |
| 11725 | Other | ND | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | ND238 (North Dakota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas Randall Clark, PHD 2116 4th Ave Nw, Minot, ND 58703-2967 Ph: (701) 838-2442 | Dr Thomas Randall Clark, PHD 2116 4th Ave Nw, Minot, ND 58703-2967 Ph: (701) 838-2442 |
Brett J Buican, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1900-8th Ave. S.e., Minot, ND 58701 Phone: 701-857-5998 Fax: 701-857-5022 | |
Dr. Timothy Trell Eaton, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1705 4th Ave Nw, Minot, ND 58703 Phone: 701-839-0474 Fax: 701-839-0713 | |
Dr. Stephan Podrygula, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 600 22nd Ave Nw, Northland Professional Building, Minot, ND 58703 Phone: 701-852-9113 Fax: 701-838-0779 | |
Richard Townsend, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1900 8th Ave Se, Minot, ND 58701 Phone: 701-857-5998 Fax: 701-857-5022 | |
Stacy L Slaughter, PSY. D. Psychologist Medicare: Medicare Enrolled Practice Location: 1015 S Broadway Ste 18, Minot, ND 58701 Phone: 701-857-8500 Fax: 701-857-8555 | |
Dr. Lori A. Shaleen, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1015 S Broadway, Suite 18, Minot, ND 58701 Phone: 701-857-8500 Fax: 701-857-8555 | |
Dr. Robyn Hardie, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1900 8th Ave Se, Minot, ND 58701 Phone: 701-857-5998 |