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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

HOLLY L DEWALL
NPI 1093630725
Student in an Organized Health Care Education/Training Program in Ukiah, CA

Active since August 11, 2026
169 MASON ST STE 300, UKIAH, CA 95482(707) 463-3300 Get Directions Write a Review

NPPES record added: August 11, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Holly L Dewall NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOLLY L DEWALL (NPI 1093630725) is an individual student in an organized health care education/training program in Ukiah, California and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1093630725
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameHOLLY L DEWALL
Location Address169 MASON ST STE 300Ukiah, CA 95482-4483
Mailing Address169 Mason St Ste 300Ukiah, CA 95482-4483 · (707) 463-3300
Phone(707) 463-3300
Sole ProprietorNo
Enumeration DateAugust 11, 2026
NPPES CertifiedAugust 11, 2026
✔ NPI 1093630725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
169 MASON ST STE 300, Ukiah, CA 95482
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRYSTAL N NEKVASIL
Rehabilitation Practitioner
169 MASON ST STE 300
UKIAH, CA 95482
Mendocino County (707) 463-3300
DIANA BILLY-ELLIOTT ASW
Social Worker (Clinical)
169 MASON ST STE 300
UKIAH, CA 95482
Mendocino County (707) 463-3300
MARISOL HERRERA LOPEZ
Counselor (Professional)
169 MASON ST STE 300
UKIAH, CA 95482
Mendocino County (707) 463-3300
LINDSAY M WERRA
Marriage & Family Therapist
169 MASON ST STE 300
UKIAH, CA 95482
Mendocino County (707) 463-3300
CARLEE NICOLE LIGHTEL
Rehabilitation Practitioner
169 MASON ST STE 300
UKIAH, CA 95482
Mendocino County (707) 463-3300
MR. DAVID BRAZIL
Day Training/Habilitation Specialist
169 MASON ST STE 300
UKIAH, CA 95482
Mendocino County (707) 463-3300
CHARLOTTE AMROUCHE
Student in an Organized Health Care Education/Training Program
169 MASON ST STE 300
UKIAH, CA 95482
Mendocino County (707) 463-3300
ORALIA P MEJIA
Case Manager/Care Coordinator
169 MASON ST STE 300
UKIAH, CA 95482
Mendocino County (707) 463-3300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Holly Dewall's NPI number?

The NPI number for Holly Dewall is 1093630725. It was assigned to this individual provider in the NPPES registry on August 11, 2026.

Where is Holly Dewall located?

Holly Dewall practices at 169 Mason St Ste 300, Ukiah, CA 95482. The listed phone number is (707) 463-3300.

What is Holly Dewall's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Holly Dewall was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.