Provider Demographics
NPI:1649497140
Name:DONATELLI, KRISTIN ERIKA (MA, LPC)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:ERIKA
Last Name:DONATELLI
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:734 BOBWHITE DR
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:PA
Mailing Address - Zip Code:16148-3262
Mailing Address - Country:US
Mailing Address - Phone:724-200-2072
Mailing Address - Fax:
Practice Address - Street 1:1961 SHENANGO VALLEY FWY LOWR LEVEL
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:PA
Practice Address - Zip Code:16148-2501
Practice Address - Country:US
Practice Address - Phone:724-200-2072
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC003819101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional