Healthcare Provider Details

I. General information

NPI: 1467373217
Provider Name (Legal Business Name): WILLIAM ROBERTS MARRIAGE & FAMILY THERAPIST, PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18715 LANARK ST
RESEDA CA
91335-1212
US

IV. Provider business mailing address

18715 LANARK ST
RESEDA CA
91335-1212
US

V. Phone/Fax

Practice location:
  • Phone: 818-932-8655
  • Fax:
Mailing address:
  • Phone: 818-932-8655
  • Fax:

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: WILLIAM ROBERTS
Title or Position: PRESIDENT
Credential: PSYD, LMFT
Phone: 818-932-8655