Provider Demographics
NPI:1598976060
Name:LUTERMAN, DAVID M (DED)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:M
Last Name:LUTERMAN
Suffix:
Gender:M
Credentials:DED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 BARTLETTS REACH
Mailing Address - Street 2:
Mailing Address - City:AMESBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01913-4529
Mailing Address - Country:US
Mailing Address - Phone:978-388-2842
Mailing Address - Fax:617-824-8733
Practice Address - Street 1:120 BOYLSTON ST
Practice Address - Street 2:EMERSON COLLEGE, THAYER LINDSLEY PROGRAM
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02116-4611
Practice Address - Country:US
Practice Address - Phone:617-824-8306
Practice Address - Fax:617-824-8733
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC00125757231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist