Kimberly Van Sickel
Counseling Psychologist
3800 Paluxy Dr
Tyler
, Texas 75703-1629
Kimberly Van Sickel
Counseling Psychologist
3800 Paluxy Dr
Tyler
, Texas 75703-1629
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About
Features
Specialties
- Counseling Psychologist
Languages spoken
- English
Location
First Address
- Kimberly Van Sickel
- 3800 Paluxy Dr
- Tyler, TX
- Zip : 75703-1629
- Phone :
Second Address
- Kimberly Van Sickel
- 3800 Paluxy Dr
- Tyler, TX
- Zip : 75703-1629
- Phone : (903) 705-2365
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TC1900X | Counseling Psychologist | 84264 | TX |
National Provider Identifier
| NPI | 1083294805 |
|---|---|
| Provider Name | Kimberly Van Sickel |
| First Address | Tyler, TX 75703-1629 |
| Second Address | Tyler, TX 75703-1629 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/04/2021 |
| Last Update Date | 14/04/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.