Healthcare Provider Details

I. General information

NPI: 1912241605
Provider Name (Legal Business Name): AMBER STAR DONATI PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/19/2012
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4485 WILLIAM FLYNN HWY STE 6A
ALLISON PARK PA
15101-1424
US

IV. Provider business mailing address

321 LAKEWOOD DR
BUTLER PA
16001-1636
US

V. Phone/Fax

Practice location:
  • Phone: 412-347-8642
  • Fax:
Mailing address:
  • Phone: 724-212-6265
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSO17299
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: