Individual provider · Type 1 NPI
Jennifer Leslie Gallup, PhD
Psychologist · Pocatello, ID
Practice location
1951 Bench Rd Ste G
Pocatello, ID 83201-2073
Fax (208) 269-1486
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Neuropsychologist | 103G00000X | None listed |
| Psychologist Primary | 103T00000X | 7051353 (ID) |
Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…
4 other providers at this address
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About NPI 1609648807
Jennifer Leslie Gallup, PhD's National Provider Identifier is 1609648807, issued on Oct 23, 2023. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Pocatello, ID. The record was last updated on Sep 8, 2026.