DR. BRYAN MICKELSON, PH.D.
Psychologist - Clinical
Active
Individual
NPI: 1033440466
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Psychologist | 103T00000X | No | - |
| Psychologist - Counseling | 103TC1900X | No | - |
| Psychologist - Clinical Child & Adolescent | 103TC2200X | No | - |
| Psychologist - Group Psychotherapy | 103TP2701X | No | - |
| Psychologist - Clinical | 103TC0700X | Yes | #535 (WY) |
| Psychologist - School | 103TS0200X | No | - |
Frequently Asked Questions
NPI 1033440466 is the National Provider Identifier for DR. BRYAN MICKELSON, PH.D., a Psychologist - Clinical provider located in Worland, WY. This NPI was enumerated on January 25, 2010.
DR. BRYAN MICKELSON, PH.D. practices at 120 S 17TH ST, Worland, WY 82401.
Quick Facts
- NPI
- 1033440466
- Type
- Individual
- Enumerated
- Jan 25, 2010
- Last Updated
- May 7, 2015
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