Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stacy Lynn Holyfield, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1912454208

Stacy Lynn Holyfield, MSCCC-SLP is a Qualified Speech Language Pathologist in Loma Linda, California. Qualified in 2013, 13 years ago. Practices with Faculty Physicians and Surgeons of Llusm, a 1,308-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona and California.

Years since qualifying
13
Licensed in
AZ, CA
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

11370 Anderson St Ste 2100
Loma Linda, CA 92354-3450
Phone: (909) 558-2822
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 — (480) 301-8000
  • 2521 Stockton Blvd Ste 7200, Sacramento, CA 95817-2207 — (916) 734-1530

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 24712 (CA)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence SLP8587 (AZ)

Record details

NPI number1912454208
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorNo
NPI enumeratedSeptember 5, 2016
Last updated in NPPESMarch 24, 2026
Certification dateMarch 24, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Faculty Physicians And Surgeons Of Llusm — 1308 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Loma Linda