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
Fax:
Website:
Authorized official contact:
Name: Pennucci, Dori MS, CCC/SLP

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 4 months ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770232811 NPPES
Tennessee MEDICAID Q079383

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