Healthcare Provider Details

I. General information

NPI: 1710236740
Provider Name (Legal Business Name): PAULETTE JOSEPHINE CHRISTOPHER PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2012
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2204 BROTHERS RD
SANTA FE NM
87505-6975
US

IV. Provider business mailing address

2204 BROTHERS RD
SANTA FE NM
87505-6975
US

V. Phone/Fax

Practice location:
  • Phone: 505-372-8160
  • Fax:
Mailing address:
  • Phone: 505-372-8160
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY1489
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: