Brack, Ashley Anne

Brack, Ashley Anne is an individual health care provider with primary practice located at 765 Allens Ave Suite 110, Providence RI 02905-5443. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Brack, Ashley Anne can be contacted via phone (401) 444-3201.

Contact Information

Primary practice address
765 Allens Ave Suite 110 Providence RI 02905-5443
Phone: (401) 444-3201
Fax: (401) 444-8507
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP01040 Rhode Island

Profile Details

NPI number 1760627236
LBN Legal business name Brack, Ashley Anne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2008
Last updated Nov 12th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760627236 NPPES
Rhode Island Other SP01040 LICENSE

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