Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Full Spectrum Therapy

Organization Clinical Child & Adolescent Psychologist · NPI 1790668069

Full Spectrum Therapy is a Clinical Child & Adolescent Psychologist in Pocatello, Idaho. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2

Practice location Address checks out

805 N Arthur Ave
Pocatello, ID 83204-2803
Phone: (208) 274-5925
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Child & Adolescent Psychologist (primary) Taxonomy 103TC2200X
Group Psychotherapy Psychologist Taxonomy 103TP2701X

Record details

NPI number1790668069
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jenn Gallup — Psychologist · (208) 406-2492
NPI enumeratedJuly 25, 2025
Last updated in NPPESJuly 25, 2025
Certification dateJuly 25, 2025
Mailing address805 N Arthur Ave, Pocatello, ID 83204-2803

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