Provider Demographics
NPI:1811616907
Name:ACTIVATION PSYCHOLOGY
Entity type:Organization
Organization Name:ACTIVATION PSYCHOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:AEGERTER
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:720-893-1415
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:720-307-8237
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:720-307-8237
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-23
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty