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Contact Information

MARCUS VAN SICKLE, PH.D., ABPP, MPAP
1050 REMOUNT RD BLDG 3107
NORTH CHARLESTON, SC29406-3516
 Phone: 571-607-2055
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prescribing (Medical)

103TP0016X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MARCUS VAN SICKLE · (Male)

NPI Number 1043666506
Status Active
Credentials PH.D., ABPP, MPAP
Entity Individual
Enumeration date 05/13/2016
Last updated 10/24/2025 - About 7 months ago
Sole proprietor 1 Yes
Identifiers
  • LA License # 340254
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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