Full Spectrum Therapy

NPI #1790668069 in Pocatello, Idaho

Provider Information

NPI Number: 1790668069
Entity Type: Organization
Organization Name: Full Spectrum Therapy
Primary Specialty: Psychologist - Clinical Child & Adolescent
Enumeration Date: Jul 25, 2025
Last Updated: Jul 25, 2025

Practice Location

Address: 805 N ARTHUR AVE
City: Pocatello
State: Idaho
ZIP Code: 83204-2803
Phone: (208) 274-5925

Authorized Official

Name: DR. JENN GALLUP, PH.D.
Title: PSYCHOLOGIST
Phone: (208) 406-2492

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Group Psychotherapy — Group Psychotherapy	103TP2701X
Psychologist - Clinical Child & Adolescent — Clinical Child & Adolescent	103TC2200X	Primary

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Organizations

Provider Name	Specialty	City
Total Spectrum Mental Health Services	Psychologist - Clinical Child & Adolescent	Pocatello	AI Deep Dive

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