Gallup, Jennifer Leslie

Gallup, Jennifer Leslie is an individual health care provider with primary practice located at 396 Yellowstone Ave , Pocatello ID 83201-4572. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Gallup, Jennifer Leslie can be contacted via phone (208) 254-7733.

Contact Information

Primary practice address
396 Yellowstone Ave Pocatello ID 83201-4572
Phone: (208) 254-7733
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 203485 Idaho

Profile Details

NPI number 1609648807
LBN Legal business name Gallup, Jennifer Leslie
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2023
Last updated Oct 23rd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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