| Doctor Name: | STEPHANIE BRAUCH |
| NPI Number: | 1003108705 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MHC |
| License Number: | |
| Business Practice Address: | 41 Dolson Ave Middletown, NY - 109406489 |
| Business Phone Number: | 8453425789 |
| Business Fax Number: | 8453440510 |
| Mailing Address: | 3 Red Lodge Dr, Unit # 2 VERNON |
| State: | NJ |
| Postal Code: | 074624540 |
| Phone Number: | 9739516171 |
| Fax Number: | 8453440510 |
| NPI Enumeration Date: | 05/12/2011 |
| NPI Last Update Date: | 05/12/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |