Provider Demographics
NPI:1790059038
Name:HARTZFELD, DEBORAH ERNSTEIN HOLLEY (MS)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:ERNSTEIN HOLLEY
Last Name:HARTZFELD
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MS
Other - First Name:DEBORAH
Other - Middle Name:ERNSTEIN
Other - Last Name:HOLLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:500 FOOTHIL DRIVE - 10P4E
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84148
Mailing Address - Country:US
Mailing Address - Phone:415-794-4156
Mailing Address - Fax:
Practice Address - Street 1:615 ARAPEEN DRIVE #212
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84148
Practice Address - Country:US
Practice Address - Phone:415-794-4156
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-05
Last Update Date:2015-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
170300000X
UT8287401-3601170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS