Provider Demographics
NPI:1770736498
Name:ZIERK, DAVID WARREN (PSYD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:WARREN
Last Name:ZIERK
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7120 E ORCHARD RD STE 450
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80111-1771
Mailing Address - Country:US
Mailing Address - Phone:303-290-8000
Mailing Address - Fax:303-843-0596
Practice Address - Street 1:7120 E ORCHARD RD STE 450
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80111-1771
Practice Address - Country:US
Practice Address - Phone:303-290-8000
Practice Address - Fax:303-843-0596
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-25
Last Update Date:2015-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3194103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical