Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Lydia Gail Roth-Laube, PHD

Individual provider Clinical Psychologist · NPI 1770636771

Dr. Lydia Gail Roth-Laube, PHD is a Clinical Psychologist in St Louis Park, Minnesota. Graduated from University of Minnesota Medical School in 1982, 44 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
44
Trained at
University of Minnesota Medical School
Licensed in
MN
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1660 Highway 100 S Ste 142
St Louis Park, MN 55416-1562
Phone: (952) 544-5719
Fax: (952) 544-5719
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence LP2153 (MN)

Record details

NPI number1770636771
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedJanuary 21, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 1982 (44 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in St Louis Park