Daphne Ursula Hartzheim, PH.D. CCC-SLP, BCBA

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

6592345-4102 Issued in UT

Practice address

6410 Old Main HL
Logan, UT 84322-5400

Phone

(435) 797-1375

NPI assigned

Mar 15, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Utah State University

  • Audiologist
  • Logan, UT
  • NPI 1235374984
  Medicare reassignment
• Usu Student Health & Wellness

  • Health Service Clinic/Center
  • Logan, UT
  • NPI 1992170443
  NPD (past)
• Utah State University

  • Developmental Disabilities Clinic/Center
  • Logan, UT
  • NPI 1174694095
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1417532185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6410 OLD MAIN HL",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843225400",
            "telephone_number": "435-797-1375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 OLD MAIN HL",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843225400",
            "telephone_number": "435-797-1375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6405 Old Main Hill",
            "address_purpose": "LOCATION",
            "city": "Logan",
            "state": "UT",
            "postal_code": "843225400",
            "country_code": "US",
            "telephone_number": "435-797-0576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTZHEIM",
        "first_name": "DAPHNE",
        "middle_name": "URSULA",
        "name_prefix": "Dr.",
        "credential": "PH.D. CCC-SLP, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-15",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "UT",
            "license": "6592345-2506",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "UT",
            "license": "6592345-4102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon S Harris, LMFT
• Joan B Harrison, MS, CCC-SLP
• Sarah Harrison
• Alexandria Hart, MDA, RD
• Bonnie Hart
• Matthew R Harvey, NP-C
• Alan Hastings, O.D.
• Jessica Oliver Hatch, R.D.
• Markee N Hawker
• Natalie C Haws, RD, CDE

• Speech-Language Pathologist in Logan, UT
• Providers in Logan, UT by specialty
• Speech-Language Pathologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.