Van Fossen, Mallory Beth

Van Fossen, Mallory Beth is an individual health care provider with primary practice located at 8901 Rockville Pike , Bethesda MD 20889-4268. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist is her primary health care specialty. Van Fossen, Mallory Beth can be contacted via phone (667) 217-6177.

Contact Information

Primary practice address
8901 Rockville Pike Bethesda MD 20889-4268
Phone: (667) 217-6177
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X ATC054 Maryland
Behavioral Health & Social Service Providers / Professional 101YP2500X PC007489 Pennsylvania
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist 221700000X ATC054 Maryland

Profile Details

NPI number 1124443239
LBN Legal business name Van Fossen, Mallory Beth
Credentials ATR-BC, LCPAT, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2014
Last updated Oct 4th, 2022 - about 3 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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