Provider Demographics
NPI:1568213403
Name:ROCKET CITY SPEECH THERAPY
Entity Type:Organization
Organization Name:ROCKET CITY SPEECH THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:MELBA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:ACEY
Authorized Official - Suffix:
Authorized Official - Credentials:MSP, CCC-SLP
Authorized Official - Phone:803-269-6730
Mailing Address - Street 1:414 BELL CIR
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35811-8600
Mailing Address - Country:US
Mailing Address - Phone:256-384-4466
Mailing Address - Fax:
Practice Address - Street 1:3405 TRIANA BLVD SW STE 300
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35805-4641
Practice Address - Country:US
Practice Address - Phone:256-384-4466
Practice Address - Fax:256-910-0805
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-28
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty