Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kenneth Suslak, PHD

Individual provider Clinical Psychologist · NPI 1962628636

Dr. Kenneth Suslak, PHD is a Clinical Psychologist in Boulder, Colorado. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

5412 Idylwild Trl
Boulder, CO 80301-3571
Phone: (303) 817-9963
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 270 (CO)

Record details

NPI number1962628636
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedApril 18, 2007
Last updated in NPPESJuly 8, 2007
Mailing address16 Pine Brook Rd, Boulder, CO 80304-0478

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