Healthcare Provider Details

I. General information

NPI: 1851644066
Provider Name (Legal Business Name): CAROLINE HIROKO HOLTE PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2012
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10750 4TH ST STE 150
RANCHO CUCAMONGA CA
91730-0979
US

IV. Provider business mailing address

PO BOX 1212
MENIFEE CA
92585-0212
US

V. Phone/Fax

Practice location:
  • Phone: 909-828-1738
  • Fax:
Mailing address:
  • Phone: 562-215-3840
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY 22872
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: