KENNETH SUSLAK

BOULDER, CO
NPI1962628636
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: CO  270)
Enumeration Date2007-04-18
Last Update Date2007-07-08
Business Address
Dr. KENNETH SUSLAK Ph.D.
5412 IDYLWILD TRL
BOULDER, CO 80301-3571
Phone number: 303-817-9963
Mailing Address
Dr. KENNETH SUSLAK Ph.D.
16 PINE BROOK RD
BOULDER, CO 80304-0478
Phone number: 303-817-9963
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