NPI 1033440466

Bryan K Mickelson, PHD

Practitioner Clinical Psychologist Worland, WY

Practice location

Address: 120 S 17th St, Worland, WY 82401-3637
Phone: (307) 272-5368
Fax: (307) 347-4038
Mailing address: PO Box 605, Worland, WY 82401-0605

Registered specialties (6)

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence #535 (WY)

Other Psychologist providers in Wyoming →

Psychologist

Behavioral Health & Social Service Providers Taxonomy 103T00000X

Counseling Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TC1900X

Clinical Child & Adolescent Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TC2200X

Group Psychotherapy Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TP2701X

School Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TS0200X

Registry record

NPI: 1033440466
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Jan 2010
Record last updated: 7 May 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.