Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dori Ellen Pennucci, MS/CCC/SLP

Individual provider Speech-Language Pathologist · NPI 1780817320

Dori Ellen Pennucci, MS/CCC/SLP is a Speech-Language Pathologist in Johnson City, Tennessee. Practices as a sole proprietor. Licensed in New York and Tennessee.

Licensed in
NY, TN
In the registry since
2009
Specialties on file
2

Practice location Address checks out

2700 S Roan St Ste 425
Johnson City, TN 37601-7587
Phone: (423) 212-3853
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 6384 (TN)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 019388-1 (NY)

Record details

NPI number1780817320
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS/CCC/SLP
Sole proprietorYes
NPI enumeratedAugust 31, 2009
Last updated in NPPESMay 20, 2024
Certification dateMay 20, 2024

Other providers in Johnson City