MEDICARE: MADELYNNE VIOLET BARNETT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	2026023066	MO

General Provider Information

NPI Number	:	1740114925
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADELYNNE VIOLET BARNETT

Provider Business Mailing Address
First Line	:	439 CREEK SIDE PL
Second Line	:
City	:	MARSHFIELD
State	:	MO
Zip	:	65706-1182
Country	:	US
Telephone Number	:	417-322-0177
Fax Number	:

Provider Business Practice Location Address
First Line	:	22864 PERIMETER LANE
Second Line	:
City	:	LEBANON
State	:	MO
Zip	:	65536
Country	:	US
Telephone Number	:	417-532-6528
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2026
Last Update Date	:	06/11/2026

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Directions to “ MADELYNNE VIOLET BARNETT ” Practice Location

Language	Start Address	Practice Location

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