IndividualActive
Ashley Brack
NPI 1760627236 · Speech-Language Pathologist · Providence, RI
Provider details
- NPI number
- 1760627236
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- SP01040 (RI)
Practice location
765 Allens Ave
Suite 110
Providence, RI 02905-5443
Phone: (401) 444-3201
Fax: (401) 444-8507
Mailing address
765 Allens Ave
Providence, RI 02905-5443
Registry dates
- Enumerated
- 2008-12-11
- Last updated
- 2010-11-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.