| Doctor Name: | KEN FURMAN |
| NPI Number: | 1306832217 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD |
| License Number: | |
| Business Practice Address: | 4881 Sugar Maple Dr 88mdg/sgohc Wright Patterson Afb, OH - 454335546 |
| Business Phone Number: | 9372576877 |
| Business Fax Number: | |
| Mailing Address: | 3033 Southfield Dr, BEAVERCREEK |
| State: | OH |
| Postal Code: | 454345721 |
| Phone Number: | 9374310770 |
| Fax Number: | |
| NPI Enumeration Date: | 09/26/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |