Provider Demographics
NPI:1902080302
Name:QUINLAN, RUTH A (QMRP)
Entity Type:Individual
Prefix:MRS
First Name:RUTH
Middle Name:A
Last Name:QUINLAN
Suffix:
Gender:F
Credentials:QMRP
Other - Prefix:
Other - First Name:RUTH
Other - Middle Name:A
Other - Last Name:QUINLAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:RR 1 BOX 343A
Mailing Address - Street 2:
Mailing Address - City:JASONVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47438-9774
Mailing Address - Country:US
Mailing Address - Phone:812-665-2744
Mailing Address - Fax:812-665-2744
Practice Address - Street 1:ROUTE 1, BOX 343A
Practice Address - Street 2:
Practice Address - City:JASONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47438
Practice Address - Country:US
Practice Address - Phone:812-665-2744
Practice Address - Fax:812-665-2744
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-20
Last Update Date:2007-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker