Provider Demographics
NPI:1720895022
Name:PALIK, DAVID PAUL
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:PAUL
Last Name:PALIK
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19513 W 54TH PL
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80403-2169
Mailing Address - Country:US
Mailing Address - Phone:303-523-5404
Mailing Address - Fax:
Practice Address - Street 1:19513 W 54TH PL
Practice Address - Street 2:
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80403-2169
Practice Address - Country:US
Practice Address - Phone:303-523-5404
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-11
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician