Provider Demographics
NPI:1538502216
Name:RODRIGUES, CATARINA MARIA (MS,MFT)
Entity Type:Individual
Prefix:MRS
First Name:CATARINA
Middle Name:MARIA
Last Name:RODRIGUES
Suffix:
Gender:F
Credentials:MS,MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 SUNNYSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:PIEDMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94611-4422
Mailing Address - Country:US
Mailing Address - Phone:415-756-8154
Mailing Address - Fax:
Practice Address - Street 1:2149 BYRON ST
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94702-1809
Practice Address - Country:US
Practice Address - Phone:415-756-8154
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-11
Last Update Date:2013-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA47164106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist