Provider Demographics
NPI:1891785648
Name:SCHERF, BEVERLY (PHD)
Entity Type:Individual
Prefix:
First Name:BEVERLY
Middle Name:
Last Name:SCHERF
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4120 CAMERON PARK DR
Mailing Address - Street 2:SUITE 206
Mailing Address - City:CAMERON PARK
Mailing Address - State:CA
Mailing Address - Zip Code:95682-7212
Mailing Address - Country:US
Mailing Address - Phone:530-672-2196
Mailing Address - Fax:530-672-2064
Practice Address - Street 1:4120 CAMERON PARK DR
Practice Address - Street 2:SUITE 206
Practice Address - City:CAMERON PARK
Practice Address - State:CA
Practice Address - Zip Code:95682-7212
Practice Address - Country:US
Practice Address - Phone:530-672-2196
Practice Address - Fax:530-672-2064
Is Sole Proprietor?:No
Enumeration Date:2005-10-24
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY16604103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0PL166040Medicare ID - Type Unspecified