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Contact Information

BRYAN K MICKELSON, PhD
120 S 17TH ST
WORLAND, WY82401-3637
 Phone: 307-272-5368
 Fax: 307-347-4038
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Counseling

103TC1900X 62 Psychologist, Clinical
 

Group Psychotherapy

103TP2701X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
 

School

103TS0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for BRYAN K MICKELSON · (Male)

NPI Number 1033440466
Status Active
Credentials PhD
Entity Individual
Enumeration date 01/25/2010
Last updated 05/07/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • WY License # #535
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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