Provider Demographics
NPI:1063771558
Name:ZENDLE, ROBERT MATTHEW (LCPC, LCADC)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:MATTHEW
Last Name:ZENDLE
Suffix:
Gender:M
Credentials:LCPC, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:604 WESTGATE RD
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:MD
Mailing Address - Zip Code:21001-1625
Mailing Address - Country:US
Mailing Address - Phone:410-989-1122
Mailing Address - Fax:
Practice Address - Street 1:604 WESTGATE RD
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:MD
Practice Address - Zip Code:21001-1625
Practice Address - Country:US
Practice Address - Phone:410-989-1122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-03
Last Update Date:2020-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLCA1786101YA0400X
MDLC3571101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)