Provider Demographics
NPI:1396906590
Name:SCHARF, GREGORY ALEXANDER (MFT)
Entity type:Individual
Prefix:MR
First Name:GREGORY
Middle Name:ALEXANDER
Last Name:SCHARF
Suffix:
Gender:M
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31451 LOMA LINDA RD
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92592-1605
Mailing Address - Country:US
Mailing Address - Phone:619-743-9533
Mailing Address - Fax:
Practice Address - Street 1:31451 LOMA LINDA RD
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92592-1605
Practice Address - Country:US
Practice Address - Phone:951-699-2495
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-19
Last Update Date:2013-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC34264106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist