Organization · Type 2 NPI

Full Spectrum Therapy

Psychologist · Pocatello, ID

NPI number 1700759255 Active

Practice location

805 N Arthur Ave
Pocatello, ID 83204-2803

Mailing address

5136 Henry Ave
Chubbuck, ID 83202-2207

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XNone listed

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…

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About NPI 1700759255

Full Spectrum Therapy's National Provider Identifier is 1700759255, issued on Sep 29, 2025. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Pocatello, ID. The record was last updated on Sep 29, 2025.