Healthcare Provider Details

I. General information

NPI: 1295206290
Provider Name (Legal Business Name): PINNACLE PSYCHOLOGICAL SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2018
Last Update Date: 12/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 S VALLEY RD STE 306
PAOLI PA
19301-1476
US

IV. Provider business mailing address

1131 S SANATOGA RD
POTTSTOWN PA
19465-8167
US

V. Phone/Fax

Practice location:
  • Phone: 610-536-6161
  • Fax: 610-536-6161
Mailing address:
  • Phone: 610-505-2494
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. ROGER WILLIAM OSMUN
Title or Position: OWNER / PSYCHOLOGIST
Credential: PH.D.
Phone: 610-536-6161