Individual provider · Type 1 NPI

Kenneth Suslak, PhD

Clinical Psychologist · Boulder, CO

NPI number 1962628636 Active

Practice location

5412 Idylwild Trl
Boulder, CO 80301-3571

Call (303) 817-9963 Map

Mailing address

16 Pine Brook Rd
Boulder, CO 80304-0478

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X270 (CO)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1962628636

Kenneth Suslak, PhD's National Provider Identifier is 1962628636, issued on Apr 18, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Boulder, CO. The record was last updated on Jul 8, 2007.