Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 7529 | MA |
Y | 103TC0700X | Clinical Psychologist | 7529 | MA |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 7529 | MA |
NPI | 1063584597 |
---|---|
Provider Name | Dr. Lisa Scharff |
First Address | Woburn, MA 01801-4404 |
Second Address | Woburn, MA 01801-1972 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/11/2006 |
Last Update Date | 01/11/2010 |