Provider Demographics
NPI:1912350745
Name:WEINGARTNER, ANGELA (PHD)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:
Last Name:WEINGARTNER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7589 E TECHNOLOGY WAY
Mailing Address - Street 2:APT 205
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-3062
Mailing Address - Country:US
Mailing Address - Phone:303-332-5280
Mailing Address - Fax:
Practice Address - Street 1:7589 E TECHNOLOGY WAY
Practice Address - Street 2:APT 205
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80237-3062
Practice Address - Country:US
Practice Address - Phone:303-332-5280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-17
Last Update Date:2016-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CONLC.0106692101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health