NPI 1760627236 · live from the CMS NPI Registry
Ashley Anne Brack
Speech-Language Pathologist, in Providence, RI. National Provider Identifier 1760627236, active.
NPI record
| NPI | 1760627236 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 765 Allens Ave, Suite 110, Providence, RI 02905 |
| Practice phone | 401-444-3201 |
| Enumerated | December 11, 2008 |
| Last updated | November 12, 2010 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | SP01040 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.