# EL PASO 12, CHEYENNE MOUNTAIN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700658218
- **Authorized official:** TONYA JONES MS CCC-SLP (SLP)
- **Authorized official phone:** (719) 475-6140

## Contact information

- **Practice address:** 1775 LACLEDE ST, COLORADO SPRINGS CO, CO 80905-8092
- **Practice address phone:** (719) 475-6100
- **Mailing address:** 1775 LACLEDE ST, 1, COLORADO SPRINGS CO, CO 80905
- **Mailing address phone:** (719) 475-6100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QH0700X | Hearing and Speech Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/27/2023
- **Last updated:** 10/27/2023