MRS. KALLIE TETTENBURN M.S., CCC-SLP
NPI 1760884365
Speech-Language Pathologist in San Diego, CA

Q: What is Kallie Tettenburn's NPI number?

The NPI number for Kallie Tettenburn is 1760884365. It was assigned to this individual provider in the NPPES registry on September 25, 2014.

Q: What is Kallie Tettenburn's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Kallie Tettenburn was last updated on September 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 25, 2014

3020 CHILDRENS WAY # MC5152, SAN DIEGO, CA 92123(858) 966-1700 Get Directions Write a Review

NPPES record last updated: September 25, 2014. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Mrs. Kallie Tettenburn M.s., Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KALLIE TETTENBURN M.S., CCC-SLP (NPI 1760884365) is an individual speech-language pathologist provider in San Diego, California, licensed in California (18771) and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1760884365

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameMRS. KALLIE TETTENBURNCredential: M.S., CCC-SLP

Location Address3020 CHILDRENS WAY # MC5152San Diego, CA 92123-4223

Mailing Address3020 Childrens Way # Mc5152San Diego, CA 92123-4223 · (858) 966-1700

Phone(858) 966-1700

Sole ProprietorNo

Enumeration DateSeptember 25, 2014

✔ NPI 1760884365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in CA · 18771

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

3020 CHILDRENS WAY # MC5152, San Diego, CA 92123

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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMBER ENGEN SLP

Speech-Language Pathologist