| Dr Daphne Ursula Hartzheim, PHD CCC-SLP, BCBA | |
|
6410 Old Main Hl, Logan, UT 84322-5400 | |
| (435) 797-1375 | |
| Not Available |
| Full Name | Dr Daphne Ursula Hartzheim |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 6410 Old Main Hl, Logan, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417532185 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 6592345-4102 (Utah) | Primary |
| 103K00000X | Behavior Analyst | 6592345-2506 (Utah) | Secondary |
| Provider Name | Utah State University |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1235374984 PECOS PAC ID: 3476715491 Enrollment ID: O20120508000468 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Daphne Ursula Hartzheim, PHD CCC-SLP, BCBA 6410 Old Main Hl, Logan, UT 84322-5400 Ph: (435) 797-1375 | Dr Daphne Ursula Hartzheim, PHD CCC-SLP, BCBA 6410 Old Main Hl, Logan, UT 84322-5400 Ph: (435) 797-1375 |
Megan Israelsen, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 356 N 300 W Apt 6, Logan, UT 84321 Phone: 303-829-2796 |
Ari Watt, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1480 N 400 E, Logan, UT 84341 Phone: 435-750-5501 |
Kathryn S Gantz, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1400 N 500 E, Logan, UT 84341 Phone: 435-716-1000 |
Karlee Larsen Workman, MA, SLP-CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 730 N 200 E, Logan, UT 84321 Phone: 801-367-8049 |
Leigh Stott, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1000 Old Main Hl, Logan, UT 84322 Phone: 435-797-1346 |
Sheldon Chatelain, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1400 N 500 E, Logan, UT 84341 Phone: 435-716-6440 |
Mikenzi Ford, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 500 E 1400 N, Logan, UT 84341 Phone: 435-716-1000 |