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Individual

DR. DIANE MARIE LUTHER

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
118 2ND ST SE, SUITE 220, CEDAR RAPIDS, IA 52401-1201
(319) 362-0632
(319) 362-5206
Mailing address
118 2ND ST SE, SUITE 220, CEDAR RAPIDS, IA 52401-1201
(319) 362-0632
(319) 362-5206

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
00708
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
36072
BCBS
IA
01
7329033
AETNA
IA
01
8233
MIDLANDS CHOICE
IA
Enumeration date
01/11/2006
Last updated
07/09/2007
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