Mary Vanderloop, - Psychologist in St Louis Park, MN

Mary Vanderloop, is a Psychologist based in St Louis Park, Minnesota. Mary Vanderloop is licensed to practice in Minnesota (license number LP3936) and her current practice location is 6490 Excelsior Blvd, # E315, St Louis Park, Minnesota. She can be reached at her office (for appointments etc.) via phone at (952) 993-6200.

NPI number for Mary Vanderloop is 1083690606 and her current mailing address is 6465 Wayzata Blvd, Suite 315, Minneapolis, Minnesota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083690606.

Contact Information

Mary Vanderloop,
6490 Excelsior Blvd, # E315,
St Louis Park, MN 55426-4705
(952) 993-6200
Not Available



Healthcare Provider's Profile

Full NameMary Vanderloop
GenderFemale
SpecialityPsychologist
Location6490 Excelsior Blvd, St Louis Park, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1083690606
  • Provider Enumeration Date: 12/15/2005
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mary Vanderloop such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083690606NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist LP3936 (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary Vanderloop is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mary Vanderloop,
6465 Wayzata Blvd, Suite 315,
Minneapolis, MN 55426-1728

Ph: () -
Mary Vanderloop,
6490 Excelsior Blvd, # E315,
St Louis Park, MN 55426-4705

Ph: (952) 993-6200

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› Verified 9 days ago


Psychologist in St Louis Park, MN

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