Healthcare Provider Details

I. General information

NPI: 1508230285
Provider Name (Legal Business Name): RACHEL LINNEA WOODARD PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RACHEL LINNEA GLASER PSYD

II. Dates (important events)

Enumeration Date: 11/18/2015
Last Update Date: 08/09/2026
Certification Date: 08/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2003 E CHERRY HILL CT
ONTARIO CA
91761
US

IV. Provider business mailing address

2910 S ARCHIBALD AVE STE A
ONTARIO CA
91761-7358
US

V. Phone/Fax

Practice location:
  • Phone: 909-438-8392
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number36723
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: