Dori Ellen Pennucci, MS/CCC/SLP
NPI #1780817320 in Johnson City, Tennessee
Provider Information
- NPI Number
- 1780817320
- Entity Type
- Individual
- Name
- Dori Ellen Pennucci, MS/CCC/SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MS/CCC/SLP
- Enumeration Date
- Aug 31, 2009
- Last Updated
- May 20, 2024
Practice Location
- Address
- 2700 S ROAN ST STE 425
- City
- Johnson City
- State
- Tennessee
- ZIP Code
- 37601-7587
- Phone
- (423) 212-3853
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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