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

Mary Vanderloop

Individual provider Psychologist · NPI 1083690606

Mary Vanderloop is a Clinical Psychologist in St Louis Park, Minnesota. Qualified in 1995, 31 years ago. Practices with Lyn-Lake Psychotherapy and Wellness Ltd, a 72-clinician group and offers telehealth. Licensed in Minnesota.

Years since qualifying
31
Licensed in
MN
In the registry since
2005

Practice location Address checks out

6490 Excelsior Blvd # E315
St Louis Park, MN 55426-4705
Phone: (952) 993-6200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence LP3936 (MN)

Record details

NPI number1083690606
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 15, 2005
Last updated in NPPESJuly 13, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Lyn-Lake Psychotherapy And Wellness Ltd — 72 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

Other providers in St Louis Park