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Organization
TOTAL SPECTRUM MENTAL HEALTH SERVICES
Active
Organization
TOTAL SPECTRUM MENTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER GALLUP PH.D. (CLINICAL PSYCHOLOGIST)
(208) 406-2492
Entity
Organization
Contact information
Practice address
809 N ARTHUR AVE, POCATELLO, ID 83204-2803
(208) 760-2663
Mailing address
809 N ARTHUR AVE, POCATELLO, ID 83204-2803
(208) 760-2663
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
NULL
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
09/05/2025
Last updated
09/05/2025
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