Individual
MR. DAVID HENRY ROUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
2378 NATIONAL RD, FAIRBORN, OH 45324-2009
(937) 879-7996
(937) 879-7959
Mailing address
2378 NATIONAL RD, FAIRBORN, OH 45324-2009
(937) 879-7996
(937) 879-7959
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5807
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000239252
ANTHEM
—
05
—
2267765
—
OH
01
—
346766000
AETNA
—
01
—
364903
TRICARE
—
01
—
476759
VALUE OPTIONS
—
01
—
P12035861
MULTIPLAN
—
Enumeration date
01/16/2007
Last updated
05/24/2010
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