MEDICARE: PINNACLE COUNSELING AND TESTING CENTER OF UTAH

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	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1528839503
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PINNACLE COUNSELING AND TESTING CENTER OF UTAH

Provider Business Mailing Address
First Line	:	3785 HARRISON BLVD STE 4
Second Line	:
City	:	OGDEN
State	:	UT
Zip	:	84403-2072
Country	:	US
Telephone Number	:	801-791-4975
Fax Number	:	385-541-2753

Provider Business Practice Location Address
First Line	:	3785 HARRISON BLVD STE 4
Second Line	:
City	:	OGDEN
State	:	UT
Zip	:	84403-2072
Country	:	US
Telephone Number	:	801-791-4975
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CLARISSA J GOSNEY
Credential	:	PSYD
Telephone Number	:	619-800-3811

Provider Enumeration Date	:	01/10/2024
Last Update Date	:	02/25/2026

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