Provider Demographics
NPI:1447951058
Name:LUTHER, MEREDITH (MS)
Entity type:Individual
Prefix:
First Name:MEREDITH
Middle Name:
Last Name:LUTHER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 S DELAWARE AVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067-1524
Mailing Address - Country:US
Mailing Address - Phone:833-588-4375
Mailing Address - Fax:
Practice Address - Street 1:33 S DELAWARE AVE STE 104
Practice Address - Street 2:
Practice Address - City:YARDLEY
Practice Address - State:PA
Practice Address - Zip Code:19067-1524
Practice Address - Country:US
Practice Address - Phone:833-588-4375
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-13
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health