Dr Bryan K Mickelson, PHD is a
Psychologist - Clinical based in Worland, Wyoming. Dr Bryan K Mickelson is licensed to practice in Wyoming (license number #535) and his current practice location is
120 S 17th St, Worland, Wyoming. He can be reached at his office (for appointments etc.) via phone at
(307) 272-5368.
NPI number for Dr Bryan K Mickelson is 1033440466 and his current mailing address is Po Box 605, Worland, Wyoming. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1033440466.
Healthcare Provider's Profile
| Full Name | Dr Bryan K Mickelson |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 120 S 17th St, Worland, Wyoming |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1033440466
- Provider Enumeration Date: 01/25/2010
- Last Update Date: 05/07/2015
Medical Identifiers
Medical identifiers for Dr Bryan K Mickelson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033440466 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Secondary |
| 103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | #535 (Wyoming) | Primary |
| 103TS0200X | Psychologist - School | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Bryan K Mickelson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Bryan K Mickelson, PHD
Po Box 605,
Worland, WY 82401-0605
Ph: (307) 272-5368 | Dr Bryan K Mickelson, PHD
120 S 17th St,
Worland, WY 82401-3637
Ph: (307) 272-5368 |
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