Provider Demographics
NPI:1265798144
Name:BENACQUISTA, ERIN (MS)
Entity type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:
Last Name:BENACQUISTA
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MISS
Other - First Name:ERIN
Other - Middle Name:
Other - Last Name:DONOVAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:8001 ROWAN RD
Mailing Address - Street 2:
Mailing Address - City:CRANBERRY TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:16066-3616
Mailing Address - Country:US
Mailing Address - Phone:724-766-9060
Mailing Address - Fax:
Practice Address - Street 1:8001 ROWAN RD
Practice Address - Street 2:
Practice Address - City:CRANBERRY TWP
Practice Address - State:PA
Practice Address - Zip Code:16066-3616
Practice Address - Country:US
Practice Address - Phone:724-779-9060
Practice Address - Fax:724-779-9062
Is Sole Proprietor?:No
Enumeration Date:2012-04-05
Last Update Date:2013-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker