MEDICARE: DOLORES J GUARINI PHD LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	CW12374	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	649270	OTHER	PA	BLUE SHIELD

General Provider Information

NPI Number	:	1538614870
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOLORES J GUARINI PHD LLC

Provider Business Mailing Address
First Line	:	615 WASHINGTON RD
Second Line	:	SUITE 502
City	:	PITTSBURGH
State	:	PA
Zip	:	15228-1926
Country	:	US
Telephone Number	:	412-892-9044
Fax Number	:

Provider Business Practice Location Address
First Line	:	615 WASHINGTON RD
Second Line	:	SUITE 502
City	:	PITTSBURGH
State	:	PA
Zip	:	15228-1926
Country	:	US
Telephone Number	:	412-892-9044
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DOLORES J GUARINI
Credential	:	PHD
Telephone Number	:	412-892-9044

Provider Enumeration Date	:	08/16/2016
Last Update Date	:	09/08/2016

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