MEDICARE: MS. DEBRA D. LUTHER L.P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	1075	OK

General Provider Information

NPI Number	:	1487710455
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DEBRA D. LUTHER L.P.C.

Provider Business Mailing Address
First Line	:	3035 NW 63RD ST
Second Line	:	SUITE 225
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73116-3632
Country	:	US
Telephone Number	:	405-990-1970
Fax Number	:	405-286-3922

Provider Business Practice Location Address
First Line	:	3035 NW 63RD ST
Second Line	:	SUITE 225
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73116-3632
Country	:	US
Telephone Number	:	405-990-1970
Fax Number	:	405-286-3922

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/27/2006
Last Update Date	:	07/08/2007

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