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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

Other

Enumeration date
09/05/2025
Last updated
09/05/2025
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