Madison Lynn Hayes-Gowen

Individual provider Active NPI Speech-Language Pathologist · De Soto, MO

NPI 1740190503 · NPPES record last updated Sep 11, 2026

Key facts

NPI
1740190503
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
2026039876 (MO)
Practice address
3775 Athena School Rd
De Soto, MO 63020-4588
Phone
(636) 586-1020
Fax
(636) 586-1029
NPI assigned
Sep 11, 2026
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2026039876 MO Yes

Addresses

Primary practice location

3775 Athena School Rd
De Soto, MO 63020-4588

Mailing address

3775 Athena School Rd
De Soto, MO 63020-4588
Phone (636) 586-1020

Other providers in De Soto, MO

All providers in De Soto, MO · Speech-Language Pathologist in Missouri

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2026. Information in NPPES is self-reported and not verified by CMS.
  • NUCC Health Care Provider Taxonomy: specialty names.

Verify at the official NPI Registry.