| Dori Ellen Pennucci, MS/CCC/SLP | |
|
2700 S Roan St Ste 425, Johnson City, TN 37601-7587 | |
| (423) 212-3853 | |
| Not Available |
| Full Name | Dori Ellen Pennucci |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 2700 S Roan St Ste 425, Johnson City, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780817320 | NPI | - | NPPES |
| Q079468 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 6384 (Tennessee) | Primary |
| 235Z00000X | Speech-language Pathologist | 019388-1 (New York) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dori Ellen Pennucci, MS/CCC/SLP 332 Laurel Cyn, Johnson City, TN 37615-4778 Ph: (914) 263-2063 | Dori Ellen Pennucci, MS/CCC/SLP 2700 S Roan St Ste 425, Johnson City, TN 37601-7587 Ph: (423) 212-3853 |
Mrs. Abigale Grimm, MCD, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2214 E Fairview Ave, Johnson City, TN 37601 Phone: 423-928-6464 | |
Mrs. Pamela Faith Abner, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 301 Wesley St Ste 1, Johnson City, TN 37601 Phone: 423-282-1700 Fax: 423-282-9319 | |
Bethany B Thomas, SPEECH PATHOLOGIST Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2340 Knob Creek Road, Suite 704, Johnson City, TN 37604 Phone: 423-929-9101 Fax: 423-434-2032 | |
Jerrica Smith, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 271 Rockingham Meadows Dr, Johnson City, TN 37615 Phone: 423-557-3757 | |
Krista Swanson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 204 E Mountain View Rd Apt 25, Johnson City, TN 37601 Phone: 952-393-1237 | |
Jeanne Wilson, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1817 Millbrook Dr, Johnson City, TN 37604 Phone: 423-952-0829 | |
Carol L Davidson, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 302 Wesley St, Suite 8, Johnson City, TN 37601 Phone: 423-282-1700 Fax: 423-282-9319 |