| Total Spectrum Mental Health Services | |
|
809 N Arthur Ave Pocatello ID 83204-2803 | |
| (208) 760-2663 | |
| Not Available |
| Full Name | Total Spectrum Mental Health Services |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 809 N Arthur Ave, Pocatello, Idaho |
| Authorized Official Name and Position | Jennifer Gallup (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 2084062492 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Total Spectrum Mental Health Services 809 N Arthur Ave Pocatello ID 83204-2803 Ph: (208) 760-2663 | Total Spectrum Mental Health Services 809 N Arthur Ave Pocatello ID 83204-2803 Ph: (208) 760-2663 |
| NPI Number | 1306726674 |
|---|---|
| Provider Enumeration Date | 09/05/2025 |
| Last Update Date | 09/05/2025 |
| Certification Date | 09/05/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306726674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Primary |
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