Provider Demographics
NPI:1447685391
Name:AEGERTER, CHRISTINA (PSYD)
Entity type:Individual
Prefix:MISS
First Name:CHRISTINA
Middle Name:
Last Name:AEGERTER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2460 W 26TH AVE STE 465C
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-5315
Mailing Address - Country:US
Mailing Address - Phone:720-893-1415
Mailing Address - Fax:
Practice Address - Street 1:2460 W 26TH AVE STE 465C
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-5315
Practice Address - Country:US
Practice Address - Phone:720-893-1415
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-11
Last Update Date:2020-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X, 103T00000X
COPAY.0004918103TC0700X
CO0004918103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103T00000XBehavioral Health & Social Service ProvidersPsychologist