Healthcare Provider Details

I. General information

NPI: 1972950160
Provider Name (Legal Business Name): VIKRAM SINGH LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2016
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

511 N HOLLYWOOD WAY
BURBANK CA
91505-3406
US

IV. Provider business mailing address

511 N HOLLYWOOD WAY
BURBANK CA
91505-3406
US

V. Phone/Fax

Practice location:
  • Phone: 818-841-0710
  • Fax: 818-846-5003
Mailing address:
  • Phone: 818-841-0710
  • Fax: 818-846-5003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: