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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. MALLORY BETH VAN FOSSEN, ATR-BC, LCPAT

Deactivated

MS. MALLORY BETH VAN FOSSEN, ATR-BC, LCPAT is a Art Therapist healthcare provider located in BETHESDA, Maryland. NPI 1124443239 is deactivated in the NPPES registry. Verify at CMS.

Art Therapist · BETHESDA, MD

This NPI has been deactivated. The record was deactivated on August 11, 2015. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1124443239
Provider Type
Individual
Gender
Female
NPI Issued
Feb 26, 2014 (1.4547945205479 yrs)
Last Updated
Feb 1, 2025
Deactivated
Aug 11, 2015
Licenses
ATC054 (MD)
PC007489 (PA)
ATC054 (MD)

Practice Information

Address
8901 ROCKVILLE PIKE
BETHESDA, MD, 208894268
Browse MD providers · Browse ZIP 20889
Phone
4433402871
Primary Specialty
Art Therapist
221700000X
Additional Specialty
Professional Counselor
Additional Specialty
Art Therapist

Other Art Therapist Providers in BETHESDA, MD

Name Credential NPI
MELISSA S. WALKER ATR-BC, LPAT 1235969619
ADRIENNE MARIE STAMPER 1427925262
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.