Provider Demographics
NPI:1497979942
Name:SCHARFF, JACQUELINE TORTORA (APRN,BC,LMFT)
Entity Type:Individual
Prefix:MS
First Name:JACQUELINE
Middle Name:TORTORA
Last Name:SCHARFF
Suffix:
Gender:F
Credentials:APRN,BC,LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:252 HATHAWAY LN
Mailing Address - Street 2:
Mailing Address - City:WYNNEWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:19096-1924
Mailing Address - Country:US
Mailing Address - Phone:610-642-4892
Mailing Address - Fax:610-642-0438
Practice Address - Street 1:252 HATHAWAY LN
Practice Address - Street 2:
Practice Address - City:WYNNEWOOD
Practice Address - State:PA
Practice Address - Zip Code:19096-1924
Practice Address - Country:US
Practice Address - Phone:610-642-4892
Practice Address - Fax:610-642-0438
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2013-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN201241-L163WP0807X, 163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
No163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & Adolescent