Healthcare Provider Details

I. General information

NPI: 1518891738
Provider Name (Legal Business Name): MADELINE HASKEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1029 COLORADO AVE
GLENWOOD SPRINGS CO
81601-3319
US

IV. Provider business mailing address

618 ROOD AVE
GRAND JUNCTION CO
81501-2742
US

V. Phone/Fax

Practice location:
  • Phone: 970-665-4744
  • Fax: 970-665-4724
Mailing address:
  • Phone: 970-665-4744
  • Fax: 970-665-4724

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: