Provider Demographics
NPI:1043586209
Name:CASTLE, ROBERT ROYAL (LCPC)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:ROYAL
Last Name:CASTLE
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8615 RIDGELYS CHOICE DR STE 212
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21236-3028
Mailing Address - Country:US
Mailing Address - Phone:410-529-2151
Mailing Address - Fax:410-529-1342
Practice Address - Street 1:8615 RIDGELYS CHOICE DR STE 212
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21236-3028
Practice Address - Country:US
Practice Address - Phone:410-529-2151
Practice Address - Fax:410-529-1342
Is Sole Proprietor?:No
Enumeration Date:2012-03-31
Last Update Date:2012-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC4164101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional