MEDICARE: MRS. TONYA LYNN JONES MS CCC-SLP

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	0337824	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144388026
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TONYA LYNN JONES MS CCC-SLP

Provider Business Mailing Address
First Line	:	6975 WOOD RIVER GRV
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80922-1258
Country	:	US
Telephone Number	:	719-591-8188
Fax Number	:	719-573-8041

Provider Business Practice Location Address
First Line	:	6975 WOOD RIVER GRV
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80922-1258
Country	:	US
Telephone Number	:	719-591-8188
Fax Number	:	719-573-8041

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

Provider Enumeration Date	:	12/04/2006
Last Update Date	:	07/09/2007

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