| Doctor Name: | DR. DAVID FREDERICK STRUS |
| NPI Number: | 1003910480 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 20040840A |
| Business Practice Address: | 2330 S. Dixon Ahn Specialty Center Kokomo, IN - 46902 |
| Business Phone Number: | 7654555426 |
| Business Fax Number: | 7658653935 |
| Mailing Address: | 806 Locust Court West, KOKOMO |
| State: | IN |
| Postal Code: | 46902 |
| Phone Number: | 7654553309 |
| Fax Number: | |
| NPI Enumeration Date: | 09/07/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 20040840A |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | IN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |