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Fallyn Duque, MS ATR

NPI 1295397560ActiveIndividual· Art Therapist· Oconomowoc, WI

Art Therapist (MS ATR) in Oconomowoc, Wisconsin, licensed in WI, with an NPI issued in July 2019.

Overview

NPI1295397560
StatusActive
Entity typeIndividual
CredentialMS ATR
Sole proprietorNo
NPI issuedJul 8, 2019
Last updated in NPPESDec 30, 2024
Certified by providerDec 30, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Art Therapist Primary221700000X20936WI
Counselor, Mental Health101YM0800X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Art Therapist providers in Oconomowoc

All Art Therapist providers in Wisconsin