Provider Demographics
NPI:1548484983
Name:ARMSTRONG, ROBERT SHEPHERD (LCADC)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:SHEPHERD
Last Name:ARMSTRONG
Suffix:
Gender:M
Credentials:LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6423 FREDERICK RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-3556
Mailing Address - Country:US
Mailing Address - Phone:410-615-9612
Mailing Address - Fax:
Practice Address - Street 1:6423 FREDERICK RD
Practice Address - Street 2:SUITE 202
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-3556
Practice Address - Country:US
Practice Address - Phone:410-615-9612
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLCA098101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD102881OtherALCOHOL AND DRUG ABUSE