Healthcare Provider Details

I. General information

NPI: 1508771254
Provider Name (Legal Business Name): RACHEL KNUTZEN PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4801 E MCDOWELL RD STE 250
PHOENIX AZ
85008-7725
US

IV. Provider business mailing address

4801 E MCDOWELL RD STE 250
PHOENIX AZ
85008-7725
US

V. Phone/Fax

Practice location:
  • Phone: 480-508-0877
  • Fax:
Mailing address:
  • Phone: 480-508-0877
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY-005809
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: