MEDICARE: RELATIONSHIP RESOLUTIONS

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	103T00000X	Psychologist
2	103TC0700X	Clinical Psychologist
3	103TF0000X	Family Psychologist
4	2084P0005X	Neurodevelopmental Disabilities Physician	MD422963	PA
5	363L00000X	Nurse Practitioner
6	103TC1900X	Counseling Psychologist

General Provider Information

NPI Number	:	1063657625
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RELATIONSHIP RESOLUTIONS

Provider Business Mailing Address
First Line	:	969 GREENTREE RD STE 108
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15220-3303
Country	:	US
Telephone Number	:	412-921-3908
Fax Number	:	866-229-3442

Provider Business Practice Location Address
First Line	:	969 GREENTREE RD STE 108
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15220-3303
Country	:	US
Telephone Number	:	412-921-3908
Fax Number	:	866-229-3442

Authorized Official
Title or Position	:	PRACTICE MANAGER
Name	:	JILL L KORAIDO
Credential	:
Telephone Number	:	412-921-3908

Provider Enumeration Date	:	12/11/2008
Last Update Date	:	05/12/2011

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Directions to “RELATIONSHIP RESOLUTIONS ” Practice Location

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