Provider Demographics
NPI:1982700084
Name:LUTHER, MARGARET SHERRILL (PHD, LPC, LMFT, CCDS)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:SHERRILL
Last Name:LUTHER
Suffix:
Gender:F
Credentials:PHD, LPC, LMFT, CCDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5642 LIPES BLVD UNIT 1
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78414-6228
Mailing Address - Country:US
Mailing Address - Phone:361-658-1667
Mailing Address - Fax:
Practice Address - Street 1:6000 S STAPLES ST STE 200
Practice Address - Street 2:DUBOIS PSYCHOLOGICAL CLINIC
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78413-2952
Practice Address - Country:US
Practice Address - Phone:361-225-3944
Practice Address - Fax:361-225-3945
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-15
Last Update Date:2012-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16964101YP2500X
TX004991-042979106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1647125-02Medicaid