Healthcare Provider Details

I. General information

NPI: 1245584382
Provider Name (Legal Business Name): AMY ELIZABETH SCHARF L.P.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/27/2012
Last Update Date: 03/18/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

417 S SHARON AMITY RD STE A
CHARLOTTE NC
28211-2875
US

IV. Provider business mailing address

417 S SHARON AMITY RD STE A
CHARLOTTE NC
28211-2875
US

V. Phone/Fax

Practice location:
  • Phone: 704-277-7873
  • Fax: 704-364-5418
Mailing address:
  • Phone: 704-277-7873
  • Fax: 704-364-5418

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number4332
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number4332
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number4332
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: