Healthcare Provider Details

I. General information

NPI: 1194635409
Provider Name (Legal Business Name): TZE WAH CHU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 DANA ST
CAMBRIDGE MA
02138-5402
US

IV. Provider business mailing address

1 DEVONSHIRE PL APT 3812
BOSTON MA
02109-3581
US

V. Phone/Fax

Practice location:
  • Phone: 617-864-4267
  • Fax:
Mailing address:
  • Phone: 630-765-4635
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSLP101499
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: