| Doctor Name: | DR. MATHILDA BRACEROS CATARINA |
| NPI Number: | 1396916110 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D., LPC. |
| License Number: | 37PC00201200 |
| Business Practice Address: | 16 Pompton Ave Pompton Lakes, NJ - 074421895 |
| Business Phone Number: | 9738356337 |
| Business Fax Number: | 9736164688 |
| Mailing Address: | 821 Summit Ave, RIVER EDGE |
| State: | NJ |
| Postal Code: | 076612319 |
| Phone Number: | 2012620952 |
| Fax Number: | 2019860142 |
| NPI Enumeration Date: | 03/19/2008 |
| NPI Last Update Date: | 03/19/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 37PC00201200 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |