Healthcare Provider Details

I. General information

NPI: 1619778321
Provider Name (Legal Business Name): RACHEL MARIE MADERA-ARNOLD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2025
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 E HAMBURG ST
BALTIMORE MD
21230-4034
US

IV. Provider business mailing address

806 W FRANKLIN ST # 842018
RICHMOND VA
23284-9038
US

V. Phone/Fax

Practice location:
  • Phone: 443-762-9766
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: