Ms Mallory Beth Van Fossen, ATR-BC, LCPAT, LPC is a
Art Therapist based in Bethesda, Maryland. Ms Mallory Beth Van Fossen is licensed to practice in Maryland (license number ATC054) and her current practice location is
8901 Rockville Pike, Bethesda, Maryland. She can be reached at her office (for appointments etc.) via phone at
(667) 217-6177.
NPI number for Ms Mallory Beth Van Fossen is 1124443239 and her current mailing address is 8901 Rockville Pike, Bethesda, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124443239.
Healthcare Provider's Profile
Full Name | Ms Mallory Beth Van Fossen |
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Gender | Female |
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Speciality | Art Therapist |
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Location | 8901 Rockville Pike, Bethesda, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1124443239
- Provider Enumeration Date: 02/26/2014
- Last Update Date: 10/04/2022
Medical Identifiers
Medical identifiers for Ms Mallory Beth Van Fossen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124443239 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | ATC054 (Maryland) | Secondary |
101YP2500X | Counselor - Professional | PC007489 (Pennsylvania) | Secondary |
221700000X | Art Therapist | ATC054 (Maryland) | 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. Ms Mallory Beth Van Fossen 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 Address | Practice Location Address |
Ms Mallory Beth Van Fossen, ATR-BC, LCPAT, LPC 8901 Rockville Pike, Bethesda, MD 20889-0001 Ph: (443) 717-1341 | Ms Mallory Beth Van Fossen, ATR-BC, LCPAT, LPC 8901 Rockville Pike, Bethesda, MD 20889-4268 Ph: (667) 217-6177 |
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