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

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