DR. Bryan K Mickelson, PH.D.

NPI #1033440466 in Worland, Wyoming

Provider Information

NPI Number: 1033440466
Entity Type: Individual
Name: DR. Bryan K Mickelson, PH.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: PH.D.
Enumeration Date: Jan 25, 2010
Last Updated: May 7, 2015

Practice Location

Address: 120 S 17TH ST
City: Worland
State: Wyoming
ZIP Code: 82401-3637
Phone: (307) 272-5368

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X
Psychologist - Counseling — Counseling	103TC1900X
Psychologist - Clinical Child & Adolescent — Clinical Child & Adolescent	103TC2200X
Psychologist - Group Psychotherapy — Group Psychotherapy	103TP2701X
Psychologist - Clinical — Clinical	103TC0700X	Primary
Psychologist - School — School	103TS0200X

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Organizations

Provider Name	Specialty	City
Psychological Services	Psychologist - Clinical	Worland	AI Deep Dive

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