Healthcare Provider Details

I. General information

NPI: 1518899988
Provider Name (Legal Business Name): NATALIE ELIZABETH HOLLIFIELD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 W LUGONIA AVE
REDLANDS CA
92374-2234
US

IV. Provider business mailing address

7772 SILVER BUCKLE RD
HIGHLAND CA
92346-5819
US

V. Phone/Fax

Practice location:
  • Phone: 909-307-5400
  • Fax: 909-307-5400
Mailing address:
  • Phone: 909-907-2057
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number21576
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: