Individual
IAN DAVID PASIKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
954 NORTH ST, SUITE 301, BOULDER, CO 80304-3307
(303) 442-6366
Mailing address
954 NORTH ST, SUITE 301, BOULDER, CO 80304-3307
(303) 442-6366
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
—
—
Other
Enumeration date
09/25/2007
Last updated
09/25/2007
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