Individual
CHRISTINE HAZARD PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6020 CONSTITUTION AVE NE STE 4, ALBUQUERQUE, NM 87110-5931
(505) 255-5099
(505) 255-4206
Mailing address
PO BOX 3338, ALBUQUERQUE, NM 87190-3338
(505) 255-5099
(505) 255-5099
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1360
NM
Other
Enumeration date
07/31/2018
Last updated
07/31/2018
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