Dr. Bryan K Mickelson
Psychologist School Psychologist Clinical Psychologist Group Psychotherapist and 2 more
120 S 17th St
Worland
, Wyoming 82401-3637
Dr. Bryan K Mickelson
Psychologist School Psychologist Clinical Psychologist Group Psychotherapist and 2 more
120 S 17th St
Worland
, Wyoming 82401-3637
(307) 347-4038
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About
Features
Specialties
- Psychologist
- Clinical Psychologist
- Counseling Psychologist
- Clinical Child & Adolescent Psychologist
- Group Psychotherapist
- School Psychologist
Languages spoken
- English
Location
First Address
- Dr. Bryan K Mickelson
- Po Box 605
- Worland, WY
- Zip : 82401-0605
- Fax : (307) 347-4038
- Phone : (307) 272-5368
Second Address
- Dr. Bryan K Mickelson
- 120 S 17th St
- Worland, WY
- Zip : 82401-3637
- Fax : (307) 347-4038
- Phone : (307) 272-5368
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 102L00000X | Psychologist | ||
| N | 103T00000X | Psychologist | ||
| Y | 103G00000X | Clinical Psychologist | #535 | WY |
| Y | 103TC0700X | Clinical Psychologist | #535 | WY |
| N | 103TC1900X | Counseling Psychologist | ||
| N | 103TC2200X | Clinical Child & Adolescent Psychologist | ||
| N | 103TP2701X | Group Psychotherapist | ||
| N | 103TS0200X | School Psychologist |
National Provider Identifier
| NPI | 1033440466 |
|---|---|
| Provider Name | Dr. Bryan K Mickelson |
| First Address | Worland, WY 82401-0605 |
| Second Address | Worland, WY 82401-3637 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/01/2010 |
| Last Update Date | 07/05/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.