Individual
CHRISTINE LUTHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LLP
Contact information
Practice address
19445 W WARREN AVE, DETROIT, MI 48228-3361
(313) 307-0088
(313) 281-2235
Mailing address
19445 W WARREN AVE, DETROIT, MI 48228-3361
(313) 307-0088
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6361005096
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
631090
—
MI
Enumeration date
06/04/2007
Last updated
12/01/2021
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