Healthcare Provider Details

I. General information

NPI: 1952697807
Provider Name (Legal Business Name): ERIN MARIE MCKENNA LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ERIN MARIE O'DONNELL LPC

II. Dates (important events)

Enumeration Date: 06/20/2011
Last Update Date: 03/02/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5433 WALNUT ST SUITE 3
PITTSBURGH PA
15232-3214
US

IV. Provider business mailing address

3601 MCKNIGHT EAST DR
PITTSBURGH PA
15237-6400
US

V. Phone/Fax

Practice location:
  • Phone: 412-921-3908
  • Fax: 866-229-3442
Mailing address:
  • Phone: 412-369-9943
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC005831
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: