IndividualActive
Bryan Mickelson, PH.D.
NPI 1033440466 · Clinical Psychologist · Worland, WY
Provider details
- NPI number
- 1033440466
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Psychologist103T00000X
Behavioral Health & Social Service Providers
- Counseling Psychologist103TC1900X
Behavioral Health & Social Service Providers
- Clinical Child & Adolescent Psychologist103TC2200X
Behavioral Health & Social Service Providers
- Group Psychotherapy Psychologist103TP2701X
Behavioral Health & Social Service Providers
- School Psychologist103TS0200X
Behavioral Health & Social Service Providers
Practice location
120 S 17th St
Worland, WY 82401-3637
Phone: (307) 272-5368
Fax: (307) 347-4038
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 605
Worland, WY 82401-0605
Registry dates
- Enumerated
- 2010-01-25
- Last updated
- 2015-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.