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

Dr. Jennifer Leslie Gallup, PHD

Individual provider Clinical Neuropsychologist · NPI 1609648807

Dr. Jennifer Leslie Gallup, PHD is a Clinical Neuropsychologist in Pocatello, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2023
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

427 N 4th Ave
Pocatello, ID 83201-6341
Phone: (208) 274-5925
Show map & directions

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

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 203485 (ID)
Clinical Neuropsychologist Taxonomy 103G00000X

Record details

NPI number1609648807
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedOctober 23, 2023
Last updated in NPPESApril 1, 2025
Certification dateApril 1, 2025

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