Individual
DR. DAVID FREDERICK STRUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1907 W SYCAMORE ST, KOKOMO, IN 46901
(765) 456-5900
Mailing address
1907 W SYCAMORE ST, KOKOMO, IN 46901-5148
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
20040840A
IN
103TC0700X
Clinical Psychologist
Primary
20040840A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000343505
ANTHEM BX/BS ID NUMBER
IN
01
—
6127954
UBH ID NUMBER
IN
01
—
96612
CIGNA GM ID NUMBER
IN
01
—
STRUS-0002
COMPCARE ID NUMBER
IN
Enumeration date
09/07/2006
Last updated
07/25/2022
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