Johnson City Speech And Language Therapy
LBN: Johnson City Speech And Language Therapy
Johnson City Speech And Language Therapy is an health care organization with primary practice located at 2700 S Roan St Ste 425 , Johnson City TN 37601-7587. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is the primary health care specialty.
Johnson City Speech And Language Therapy can be contacted via phone (423) 212-3853, or through Pennucci, Dori via phone (423) 212-3853.
Contact Information
Primary practice address
2700 S Roan St Ste 425
Johnson City TN 37601-7587
Phone: (423) 212-3853
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | ||
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X |
Profile Details
| NPI number | 1770232811 |
|---|---|
| LBN Legal business name | Johnson City Speech And Language Therapy |
| DBA Doing business as | |
| Authorized official | Pennucci, Dori MS, CCC/SLP |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 23rd, 2022 |
| Last updated | Jul 2nd, 2024 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770232811 | NPPES |
| Tennessee | MEDICAID | Q079383 |
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