Individual
DR. MARCUS VAN SICKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., ABPP, MPAP
Contact information
Practice address
1050 REMOUNT RD BLDG 3107, NORTH CHARLESTON, SC 29406-3516
(571) 607-2055
Mailing address
9861 BROKEN LAND PKWY STE 100, COLUMBIA, MD 21046-3031
(202) 209-3406
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TP0016X
Prescribing (Medical) Psychologist
Primary
340254
LA
Other
Enumeration date
05/13/2016
Last updated
10/24/2025
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