NPI 1033099585

Tenille Rudeen, SLP

Practitioner Speech-Language Pathologist Pocatello, ID

Practice location

Address: 611 Wilson Ave STE 3, Pocatello, ID 83201-5046
Phone: (208) 242-7377
Fax: (208) 417-0956
Mailing address: 13413 N Moonglow Ln, Pocatello, ID 83202-5122

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 7771272 (ID)

Other Speech-Language Pathologist providers in Idaho →

Registry record

NPI: 1033099585
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Sep 2025
Record last updated: 5 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.