Provider Demographics
NPI:1780825356
Name:PHILLIPS, CHRISTOPHER M (PHD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:M
Last Name:PHILLIPS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6005 DELMONICO DR
Mailing Address - Street 2:SUITE 150
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80919-2237
Mailing Address - Country:US
Mailing Address - Phone:719-266-5244
Mailing Address - Fax:719-266-5245
Practice Address - Street 1:6005 DELMONICO DR
Practice Address - Street 2:SUITE 150
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80919-2237
Practice Address - Country:US
Practice Address - Phone:719-266-5244
Practice Address - Fax:719-266-5245
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-11
Last Update Date:2017-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPSY-3346103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling