Healthcare Provider Details

I. General information

NPI: 1275769242
Provider Name (Legal Business Name): GAZIT CHAYA NKOSI MA, CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ASHLEY TAYLOR

II. Dates (important events)

Enumeration Date: 06/04/2009
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

424 POTWINE LN
AMHERST MA
01002-3042
US

IV. Provider business mailing address

6 UNIVERSITY DR # 206-146
AMHERST MA
01002-2360
US

V. Phone/Fax

Practice location:
  • Phone: 413-336-4304
  • Fax: 413-336-4304
Mailing address:
  • Phone: 413-336-4304
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: