Vanderloop, Mary

Vanderloop, Mary is an individual health care provider with primary practice located at 6490 Excelsior Blvd # E315, St Louis Park MN 55426-4705. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Vanderloop, Mary can be contacted via phone (952) 993-6200.

Contact Information

Primary practice address
6490 Excelsior Blvd # E315 St Louis Park MN 55426-4705
Phone: (952) 993-6200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP3936 Minnesota

Profile Details

NPI number 1083690606
LBN Legal business name Vanderloop, Mary
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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